title: Predictive factors of morbidity after surgical treatment of hepatic hydatid cyst.
abstract: BACKGROUND
  Surgery remains the basic treatment of hepatic hydatid cyst (HHC). However, it is associated with significant morbidity. The aim of our study was to evaluate mortality and morbidity of surgery of the HHC and to highlight the risk factors.
  
  
  METHODS
  A retrospective study was conducted from January 1, 1996 to December 31, 2006. 391 patients hospitalized for HHC and operated in the Department of General Surgery "A" of the Rabta Hospital in Tunis, Tunisia.
  
  
  RESULTS
  The overall mortality rate was 0.7% while the overall morbidity rate was 20.4%. About 16.6% suffered from specific complications, while 3.8% suffered from non-specific complications. Predictors of morbidity in a univariate analysis included cysts larger than 9 cm, dome cysts, cysts with bilious contents, type II, III, IV or V on ultrasound classification, fissured cysts and intrabiliary rupture of hepatic hydatid cyst. The multivariate study consisted of independent predictors of disease at the site of the liver dome, the cysto-biliary fistula and intrabiliary rupture of hepatic hydatid cyst
  
  
  CONCLUSIONS
  The hepatic hydatid cyst of the dome and the existence of preoperative complications in particular intrabiliary rupture of hepatic hydatid cyst are the main factors of morbidity. A better understanding of these factors allows the surgeon to choose the appropiate surgical technique that is associated with less morbidity.
authors: Department of Surgery "A" Rabta Hospital, Tunis, Faculty of Medicine of Tunis, Tunisia.
authors: Heikal
authors: H
authors: Bedioui
authors: Khouloud
authors: K
authors: Bouslama
authors: Houcine
authors: H
authors: Maghrebi
authors: Jokho
authors: J
authors: Farah
authors: Hichem
authors: H
authors: Ayari
authors: Hamadi
authors: H
authors: Hsairi
authors: Montacer
authors: M
authors: Kacem
authors: Mohamed
authors: M
authors: Jouini
authors: Zoubeir
authors: Z
authors: Bensafta
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D002648:Child; D004444:Echinococcosis, Hepatic / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D011183:Postoperative Complications / Q000453:epidemiology* / Q000401:mortality; D012189:Retrospective Studies; D012307:Risk Factors; D015996:Survival Rate; D016896:Treatment Outcome; D055815:Young Adult
keywords: Hydatid cyst; liver; morbidity; mortality; surgery+L11:L15