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Predisposing factors and surgical outcome of complicated liver hydatid cysts

World Journal of Gastroenterology 2010年第24期16卷 3040-3048页

作者： Alper Akcan Erdogan Sozuer Hizir Akyildiz Zeki Yilmaz Ahmet Ozturk Altay Atalay Department of General Surgery Erciyes University School of Medicine Department of Biostatistics Erciyes University School of Medicine Department of Microbiology Erciyes University School of Medicine

AIM: To evaluate the predisposing factors for peritoneal perforation and intrabiliary rupture and the effects of these complications on surgical outcome in liver hydatid ***: A total of 372 patients with liver hydatid cysts who had undergone surgical treatment were evaluated retrospectively. Twenty eight patients with peritoneal perforation, 93 patients with spontaneous intrabiliary perforation, and 251 patients with noncomplicated hydatid cysts were treated in our ***: When the predisposing factors for complications were evaluated, younger age, superf icial position, and larger cyst dimensions (P cysts increased intrabiliary rupture rates (P complicated group was 25%, 16.1% and 5.5%, respectively. When compared, complication rates were significantly different (P = 0.002). When length of hospital stay was compared, there was no signif icant difference between the groups (P > 0.05). The overall recurrence rate was 3.8% (14 patients), but there was not any statistical difference among the patient groups (P = 0.13). The early postoperative mortality rate was 1.1%. CONCLUSION: In peritoneally perforated and intrabiliary ruptured cases, the most important steps are irrigation of the peritoneal cavity and clearance of the cystic material from the biliary tree.

关键词： complicated liver hydatid cysts Predisposing factors Surgical treatment Surgical outcome

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