Liver resections for the treatment of hydatid cyst

Abstract

Introduction: Liver resections for the treatment of hydatid cyst, have been discussed over the years. Trying to retain the maximum amount of functional hepatic parenchyma is considered essential. Nevertheless, in some specific cases such as multiples hydatid cysts (QH), gall destruction, residual cavities and fibrosis, liver resections have its formal indication. Objective: Analyze morbidity and liver resection Materials and methods: Observational, descriptive and retrospective study. 13 cases. Results: Patients were 9 men and 4 women, from 17 to 75 years old. 70% presented simple cholangitis and the 5% had abdominal pain. 60% was located in the left lobe and the 40% in the right lobe. Right hepatectomy 31% of the cases, 8% left hepatectomy, bisegmentectomy II–III 39% of the cases, atypical resections 15% o and segmentectomy III 8%. The morbidity was 31%. No mortality. Discussion and conclusions: The cystoresection is the most atypical resection used and the most common typical resections are right hepatectomy, segmentectomy V–VI, segmentectomy IV, or II–III bisegmentectomy. In hepatic hydatid surgery, the vascular aspect is important in order to avoid leaving no functional parenchyma. The biliary tract was importantly commitment that forced to performed cystobiliary disconnection, adding complexity to the procedure. These radical procedures are not exempt of complications.. We conclude that in general, liver resections must be solved using a tactical and technical resource, trying to achieve good results, avoiding complications and consequences of morbidity and mortality which are non-negligible for a endemic benign disease in our environment.