Conservative surgery in the treatment of hepatic hydatidosis.
OBJECTIVE
To examine the morbidity, mortality and recurrence rate after a modified conservative operation in the treatment of hepatic hydatidosis.


METHODS
Prospective open study.


METHODS
University hospital, Greece.


METHODS
67 Consecutive patients with hepatic hydatidosis, operated on between 1985 and 1990.


METHODS
The liver was mobilised and abdominal cavity isolated with pads soaked in 15% saline solution. Hydatid fluid was aspirated from the cysts which were widely deroofed, sterilised with 15% saline, and then oversewn with a braided absorbable suture. Drains were left in place and a third of patients also had omentoplasty (n = 22).


METHODS
Morbidity, mortality and recurrence rate.


RESULTS
One patient died (1%), 4 developed complications (6%), and there were 3 recurrences (6%). It made no difference whether an omentoplasty was added or not.


CONCLUSIONS
Conservative surgery achieves satisfactory results in the treatment of hepatic hydatidosis.
Vagianos
C E
CE
Department of Surgery, University of Patras Medical School, Greece.
Karavias
D D
DD
Kakkos
S K
SK
Vagenas
C A
CA
Androulakis
J A
JA
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002763:Cholecystectomy; D004444:Echinococcosis, Hepatic / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography