RECURRENCE AFTER SURGERY AT THE LIVER CYST HYDATID
NİHAT KAYMAKÇIOĞLU, MUTLU YAKUT, AKİF TAN, ABDURRAHMAN ŞİMŞEK, ALİ AKDENİZ
GATA Genel Cerrahi ABD, ANKARA
Recurrence after surgery of hydatid cyst of the liver is very important problem. Between 1992 and 1996, sixty patients were operated on and followed in average 17 months (6-24). Abdominal ultrasonography (US), indirect hemaglutination (IHA), total immunglobulin (Ig) E measurements were studied at 3rd, 6th, 12th and 24th months in postoperative period for detection of recurrence. Fisher's exact chi-square test and student t test were used for statistical analysis.
According to US Gharbi's classification, of the 79 cysts in 60 patients, 17 type I-II, 42 Type III-IV and 20 Type IV-V were evaluated. The recurrence occured in fourteen patients (%21.2) with US and serological tests in the postoperative period. IHA and total IgE were positive in 64.2% and 71.4% of patients. The relation between size of cysts and recurrence number of cysts and recurrence rates were not statistically significant (p>0.05). The patients with recurrence were reoperated and they were followed up at 3rd, 6th, 12th months. Recurrence was not found after reoperation. As a result, at the liver hydatid cyst surgery, peroperative US, cystoresection and omentoplasty in suitable cases may decrease surgical recurrence.
Keywords: LIVER HYDATID CYST, SURGERY, RECURRENCE