Surgical treatment of hydatid disease of the liver. A 20-year experience
P. Magistrelli, R. Masetti, R. Coppola, A. Messia, G. Nuzzo and A. Picciocchi
Department of Surgery, Catholic University of Rome, Italy.
The medical records of 135 consecutive patients (74 women and 61 men) who
underwent surgery for hydatid liver disease were reviewed. The patients
ranged in age from 4 to 81 years. Twenty-seven patients had undergone
previous surgery for hydatid liver disease. Cysts were solitary in 100
patients and multiple in 35 patients. Seventeen patients had concomitant
extrahepatic disease. Conservative procedures were used in 71 patients
(capitonnage in 50 patients and partial pericystectomy in 21 patients).
Radical procedures were used in 64 patients (total pericystectomy in 35
patients, subtotal pericystectomy in 16 patients, and wedge or major liver
resection in 13 patients). Operative mortality was 2.2% and morbidity rate
was 23.7%. Recurrent disease was found in 13 patients at a mean interval of
3 years from the first operation. Better short- and long-term results were
obtained with the use of radical procedures.
