Abstract

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.