Management of residual cavity after partial cystectomy for hepatic hydatidosis: comparison of omentoplasty with external drainage.

Abstract

OBJECTIVE:

To investigate the role of two approaches to the operative treatment of hepatic hydatid cysts.

DESIGN:

Prospective study.

SETTING:

University and teaching hospital, Turkey.

SUBJECTS:

108 patients with single uncomplicated hydatid cysts who were operated on in two clinics between 1990 and 1995.

INTERVENTION:

Introflexion and omentoplasty or external drainage after partial cystectomy in single uncomplicated hydatid cysts more than 5 cm in size.

MAIN OUTCOME MEASURES:

Morbidity, mortality, and hospital stay.

RESULTS:

The median hospital stay after introflexion and omentoplasty was 8 days (range 3-15), which was significantly shorter than that after external drainage (12 days, range 7-20). There were 2/35 postoperative complications in the former group compared with 17/73 in the drainage group (p = 0.03). There was one death after introflexion and omentoplasty.

CONCLUSION:

Introflexion and omentoplasty after partial cystectomy for a single uncomplicated hydatid cyst caused significantly fewer complications than external drainage, and patients left hospital sooner.

• Authors: I D Ozacmak, F Ekiz, V Ozmen, A Isik
• Journal: The European journal of surgery = Acta chirurgica (Eur J Surg) Vol. 166 Issue 9 Pg. 696-9 (Sep 2000) ISSN: 1102-4151 [Print] England
• PMID: 11034465 (Publication Type: Comparative Study, Journal Article)

Topics

• Adult
• Drainage (adverse effects)
• Echinococcosis, Hepatic (surgery)
• Female
• Humans
• Length of Stay (statistics & numerical data)
• Male
• Morbidity
• Omentum (surgery)
• Postoperative Complications (epidemiology)
• Prospective Studies