A COMPARISON OF PARTIAL CYSTECTOMY + DRAINAGE AND PARTIAL CYSTECTOMY + INTROFLEXION + OMENTOPLASTY PROCEDURES FOR THE SURGICAL TREATMENT OF HEPATIC HYDATID CYSTS

Abstract

Residual cavity following primary surgical therapy of hepatic hydatid cysts is a frequent cause of morbidity and there is no consensus about the proper management of this entity. Many procedures extending from external drainage to hepatic resection are currently in use.

In this report, we compared two different methods for the surgical treatment of the residual cavity in single, uncomplicated hydatid cysts with a greatest diameter of more than 5cm.: Partial Cystectomy + External Drainage (PC-ED, Group I) and Partial Cystectomy + Introflexion + Omentoplasty (PC-I-O, Group II).

Hospital stay in both groups were compared with the t-test, whereas postoperative complications were compared with the Chi-square test. The mean hospital stay in Group II was 8.6 ( 12.7 days, thus significantly shorter than in Group I (p<0.001). There were significantly less postoperative complications in Group II incomparison to Group I (p<0.05).

In conclusion, Partial Cystectomy + Introflexion + Omentoplasty was found to be a better method than Partial Cystectomy + External Drainage in terms of post-op morbidity.