Clinical and surgical profile and follow up of patients with liver hydatid cyst from an endemic region.
OBJECTIVE
The aim of this study is to present the changes in the treatment of liver hydatid cyst during the last 20 years in our clinic according to literature data.


METHODS
Clinical, laboratory and operational findings and pre- and postoperative complications of 650 from 700 patients with liver hydatid cysts, examined and treated at Selcuk University Meram Medicine Faculty, General Surgery Department, between 1985-2005, were evaluated in two groups: 1st period (1985-1995) and 2nd period (1995-2005).


RESULTS
436 of the cases were females (67.1%) and 214 (32.9%) males. The mean age of the females was 35 years (ranges 10-73) and of the males 46 years (ranges 12-76). Surgical treatment comprised radical and obliterative conservative techniques in the first period, while non-obliterative conservative techniques and percutaneous puncture and aspiration of the cyst, injection of scolex eliminating substance and reaspiration (PAIR) were preferred in the second period. During the follow-up (498 cases were followed for a mean period of 32 [12-72] months), recurrence occurred in 12 in the first period and in 9 in the second period, a total of 21 patients (4.21%).


CONCLUSIONS
We consider that regardless of the surgical treatment used in liver hydatid cyst cases, combination with chemotherapy is the safest and most effective approach.
Tekin
Ahmet
A
Department of General Surgery Meram Medical Faculty, University of Selcuk, Akyokuş, Konya, Turkey. drtekina@hotmail.com
Kücükkartallar
Tevfik
T
Kartal
Adil
A
Kaynak
Adnan
A
Ozer
Sükrü
S
Tavli
Sakir
S
Belviranli
Metin
M
Sahin
Mustafa
M
Yol
Serdar
S
Aksoy
Faruk
F
Tekin
Sakir
S
Vatansev
Celalettin
C
Erikoglu
Mehmet
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004444:Echinococcosis, Hepatic / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery*; D019353:Endemic Diseases; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014421:Turkey / Q000453:epidemiology