Hydatid Cyst
Conditions
Brief summary
The management of liver hydatid cysts (LHC) is controversial. Surgery remains the basic treatment, and can be divided into radical and conservative approaches. The purpose of this study was to compare the outcome of radical and conservative surgery (CS) in the treatment of LHC and to evaluate the efficiency and safety of radical surgery (RS).
Detailed description
The management of liver hydatid cysts (LHC) is controversial. Surgery remains the basic treatment, and can be divided into radical and conservative approaches. The purpose of this study was to compare the outcome of radical and conservative surgery (CS) in the treatment of LHC and to evaluate the efficiency and safety of radical surgery (RS). Data from all patients with LHC treated in Sahloul Hospital, between January 2000 and December 2019, were retrieved from a retrospective database. To minimize selection bias, propensity score matching (PSM) was performed, based on variables representing patient characteristics and operative risk factors. RS especially total pericystectomy had fewer postoperative complications and lower recurrence rate compared to CS. RS may be the preferred procedure for LHC if the expertise is available.
Interventions
PROCEDUREhydatid cyst resection
radical resection of hydatic cyst
Sponsors
Université de Sousse
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
14 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* age over 14 years old. * Patients presenting liver hydatid cyst .
Exclusion criteria
* age less than 14 years old. * Patients presenting other localization of hydtic cyst , than the liver. * calcified cysts. * patients with incomplete medical records. * patients who were lost to follow up.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| recurrence of hydatic cyst | 2 years | recurrence of hydatid cyst after surgery |
Outcome results
None listed