Clinical outcomes of modified versus traditional technique for the surgery of hydatid cyst of the liver: A case control study

Fattahi, A. S. and Masoom, S. H. F. and Lorestani, F. and Fakhlai, M. and Mehrjerdi, F. S. A. and Gazanchian, M. and Hosseini, G. N. (2019) Clinical outcomes of modified versus traditional technique for the surgery of hydatid cyst of the liver: A case control study. Middle East Journal of Digestive Diseases, 11 (3). pp. 1-6.

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Abstract

BACKGROUND Echinococcus granulosis is a parasitic infection most commonly involving the liver. Iran is a hyperendemic area for this disease according to WHO. Despite improvements in medical and interventional radiological techniques, surgery remains the gold standardof treatment; however evidence on different surgical modalities were explained. Considering the high population of referring patients presenting to Omid and Ghaem Hospitals, Mashhad, Iran, we decided to compare the complications of our modified technique with routine technique in hydatid cyst surgery. METHODS 56 patients with hydatid cyst of the liver who underwent modified androutine surgical treatment in Ghaem and Omid Hospitals Mashhad, Iran were studied during Aug 2013- Nov 2015. 27 patients underwent modified surgical technique, whereas the remaining 27 patients were treated by using routine surgical method. These two groups of patients were compared with each other according to their postoperative length of hospital stay and resulting complications. RESULTS The mean age of our patients was 41 years. 27 patientswere male and 29 were female. Our results showed no statistically significant difference regarding the incidence of postoperative complications between the two groups. However, mean length of hospital stay was significantly different between the groups (4.5 ± 1.87 and 7.6 ± 2.25 days, respectively, p < 0.001). CONCLUSION The method of modified surgery with closed cyst drainage, which does not use external drains, is a safe surgical modality in the treatment of hydatid cyst disease of the liver if applied properly on appropriate patients. © 2019 The Author(s).

Item Type: Article
Additional Information: Export Date: 16 February 2020 Correspondence Address: Masoom, S.H.F.; Lung Diseases Research Center, Mashhad University of Medical SciencesIran; email: emis@mums.ac.ir
Uncontrolled Keywords: Digestive system Hepatic Hydatid Cyst Postoperative complications Surgical procedure adult Article case control study controlled study cyst fluid cystostomy echinococcosis Echinococcus granulosus echography endotracheal intubation female follow up hematoma hospitalization human length of stay major clinical study male middle aged postoperative complication prospective study seroma
Subjects: WR Dermatology
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib1 lib1
Date Deposited: 21 Jun 2020 05:13
Last Modified: 21 Jun 2020 05:13
URI: http://eprints.mums.ac.ir/id/eprint/18338

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