Liver hydatidosis: reasoned indications of surgical treatment. Comparison between conservative and radical techniques. Retrospective study

Main Article Content

Giuseppe Salamone
Roberta Tutino
Jenny Atzeni
Leo Licari
Nicola Falco
Giuseppina Orlando
Gaspare Gulotta

Abstract

Liver hydatidosis is a focal benign parasitic disease that still cause high rate of morbidity particularly in the Mediterranean area. A retrospective study comparing conservative and radical techniques in a General and Urgent Surgery operative unit was carried out in order to find signs of its surgical treatment.


A total of 50 patients, 24 men and 26 women, who experienced a surgical treatment from 2000 to 2011, participated, and through the Fisher’s Exact Test characteristics of the cysts, post-operative complications and relapse were compared. As a result, 29 patients undertook conservative surgery, while 21 radical surgery.


There was a relationship between characteristics of the cysts and the technique chosen, (p<0.001). Likewise, whenever the diameter was smaller than 10cm or localized in the left lobe a radical technique was used. Conversely, a conservative technique was used when the diameter was bigger than 10 cm or they were localized in the right lobe or complicated by intra-biliary or intra-peritoneal rupture as well as in contiguity with major vascular and biliary structures. In this regard, while the post-operative morbidity was related to the conservative techniques (p<0.004), the relapses tended to not be related to any techniques in our case (p<0.14).


In conclusion, in a non hepato-bilio-pancreatic center a radical surgery including liver resection is suggested for left lobe’s cysts, while a conservative technique tends to be more effective for right lobe’s cysts mainly if complex. Consequently, patients with complicated presentation could explain why conservative treatment causes higher rate of morbidity.

Article Details

How to Cite
Salamone, Giuseppe, et al. “Liver Hydatidosis: Reasoned Indications of Surgical Treatment. Comparison Between Conservative and Radical Techniques. Retrospective Study”. Annali Italiani Di Chirurgia, vol. 85, no. 5, Sept. 2014, pp. 422-30, https://annaliitalianidichirurgia.it/index.php/aic/article/view/2435.
Section
Article