CYSTECTOMY ΙΝ THERAPY OF HYDATID CYST OF LIVER

Abstract

Mortality, morbidity and resurrence of cyst are the most serious problems of the patients undergoing surgery for hydetid cyst of the liver. Ιn order to assess the effectiveness of the operetive prosedures used for the treatment of hydetid cyst of the liver in our Department from 1978 to 1989 we analysed the factors affecting: e) Mortality and morbidity, b) Outcome of the patients, and c) Recurrence of the cyst. 111 consecutive operations for hydatid cyst of the liver were divided onto two groups: Group Ι included 57 pericystectomies and hepatectomies and group II 54 partial pericystectomies and drainage or combiantion with "capitonnage" or omentoplasty. Our findings showed that: 1) Blood transfusion volume was 3,16+2,06 (mean +S.D.) units in the group Ι and 3,58+1,86 (mean+S.D.) units in the group II. 2) Postoperative hospital stay was significantly shorter in the group I than in the group ΙΙ: 22,17+15,04 (mean+S.D.) days for the group Ι end 36,29+ 16,13 (mean+S.D.) days for the group I vs one death in the group II. 4) Recurrence of cyst: None in the group Ι vs two in the group II. The above data may support a more radical approach in the treatment of hydatid cyst of the liver in the cases where pericystectomies or hepetectomies could be applied.