Radical Surgery Reduces Risk of Recurrence in Liver Hydatid Cyst

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Background and aims: Effects of conservative surgical procedures applied in cyst hydatid surgery and radical surgical interventions on emergence of postoperative biliary complications and recurrence were examined. Methods: Data of 804 patients operated with the diagnosis of liver cyst hydatid were examined retrospectively. Demographic features, preoperative imaging methods, cyst type, location, complication and type of surgery were recorded. The patients were divided into two groups according to the difference of the surgical methods applied (conservative / radical) and the period of hospitalization, morbidity and mortality in the first 30 postoperative days and long-term recurrence rates were compared. Results: Conservative surgery was applied to 605 patients while radical surgery was applied to 199 patients of the total 804 patients. The demographic characteristics of the patients were similar in the two groups. In the postoperative period, there was no statistically significant difference between the two groups in terms of period of hospitalization, morbidity and mortality rates. However, biliary complications observed as 4.1% in conservative surgery know was found to be 3% in radical surgery. The mean follow-up period was 50.66 ± 23.9 (3-147) months and recurrence developed in 86 patients. The recurrence rate, which was 13.2 % in the conservative surgical group, was found to be 3% in the radical surgical group (p = 0.0001) (Table 1). Conclusions: Radical surgery decreases biliary complications including primarily bile leakage without causing additional morbidity in patients, makes follow-up easier but most importantly it decreases recurrence rate significantly.Table 1Period of hospitalization, morbidity, mortality and recurrence ratesConservative Surgery Group (n = 605)Radical Surgical Group (n = 199)PPeriod of hospitalization (day)6.5±6.1 (2-60)5.2±1.7(3-11)> 0.05Morbidity (30 days )106 (% 17.5)37 (% 18.6 )=0.754Reoperation (30 days)4 (% 0.66)1 (% 0.50)=1.000Mortality (30 days )5 (% 0.82)1 (% 0.5)=1.000Recurrence80 (% 13.2)6 (% 3.01)=0.0001 Open table in a new tab