Medical and surgical therapies of hydatid liver cysts
| Surgical therapy | Group; no. (%) | ||
|---|---|---|---|
| Whole cohort n = 40 | 1988–2002 n = 20 | 2003–2012 n = 20 | |
| Main procedures | |||
| Radical liver resection | 24 (60) | 13 (65) | 11 (55) |
| Liver resection + marsupialization | 6 (15) | 1 (5) | 5 (25) |
| Marsupialization | 4 (10) | 1 (5) | 3 (15) |
| Liver resection + drainage | 3 (8) | 3 (15) | 0 |
| Drainage | 3 (8) | 2 (10) | 1 (5) |
| Associated procedures | |||
| Intraoperative ultrasonography | 20 (50) | 5 (25) | 15 (75)† |
| Diaphragmatic resection/repair | 8 (20) | 3 (15) | 5 (25) |
| Cholangiography | 7 (18) | 7 (35) | 0† |
| Closure of cyst-biliary fistula | 3 (8) | 3 (15) | 0 |
| CBD exploration | 3 (8) | 3 (15) | 0 |
| IVC resection/repair | 2 (5) | 2 (10) | 0 |
| Right adrenalectomy | 2 (5) | 2 (10) | 0 |
| Intra-abdominal abscess drainage | 2 (5) | 0 | 2 (2) |
| Other* | 7 (3% each) | 3 (15) | 4 (20) |
CBD = common bile duct; ERCP = endoscopic retrograde cholangiopancreatography; IVC = inferior vena cava.
↵* Gastric lesser curve resection, pericardial resection, sphincteroplasty, thoracotomy, ERCP, pelvic hydatid cysts excision, bilateral lung hydatid cysts excision (wedges at second operation 2 months later).
↵† p < 0.05.