title: Comparison of surgical procedures and percutaneous drainage in the treatment of liver hydatide cysts: a retrospective study in an endemic area.
abstract: BACKGROUND
  Surgical procedures are still the golden standard option in the treatment of liver cystic echinococcosis. However, minimal invasive technics like percutaneous drainage are rising trends. We aimed to compare the efficacy of surgical and percutaneous options in the treatment of liver hydatidosis in an endemic area.
  
  
  METHODS
  Patients who underwent surgical or percutaneous procedures for hydatid disease between January 2007 and December 2012 were retrospectively evaluated. Recurrence rates, hospital stay time, and related factors were analyzed.
  
  
  RESULTS
  There were 44 (35.5%) male and 80 (64.5%) female patients in this study. Eighty two patients (Group I) had undergone surgery (66.1%) and 42 patients (Group II) had undergone percutaneous drainage (33.9%). The mean cyst size was 7.28 ± 2.51 cm in Group I and 8.76 ± 3.30 cm in Group II. Nine recurrences (7.3%) were detected during study. Five of the recurrences were in Group II (11.9%) and four (4.9%) of them were in Group I. The mean length of hospital stay of all patients was 5.42 ± 3.16 days.
  
  
  CONCLUSIONS
  Percutaneous drainage techniques can be a good alternative to surgery in selected patients. In complicated cases like cystobiliary fistula, surgery is superior to percutaneous approaches. The hospital stay time, recurrence rate and postoperative complications were not enhanced when compared to percutaneous treatment in our study. Despite all controversy about the low morbidity after percutaneous treatment, surgical approach is still a preferable option in patients with liver hydatidosis when it is performed by experienced surgeons.
authors.affiliation: Department of General Surgery, Medicine School of Mustafa Kemal University 31100, Serinyol, Hatay, Turkey.
authors.forename: Seckin
authors.initials: S
authors.lastname: Akkucuk
authors.affiliation: Department of General Surgery, Medicine School of Mustafa Kemal University 31100, Serinyol, Hatay, Turkey.
authors.forename: Akin
authors.initials: A
authors.lastname: Aydogan
authors.affiliation: Department of General Surgery, Medicine School of Mustafa Kemal University 31100, Serinyol, Hatay, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Ugur
authors.affiliation: Department of General Surgery, Medicine School of Mustafa Kemal University 31100, Serinyol, Hatay, Turkey.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Yetim
authors.affiliation: Department of Radiology, Medicine School of Mustafa Kemal University 31100, Serinyol, Hatay, Turkey.
authors.forename: Ramazan
authors.initials: R
authors.lastname: Davran
authors.affiliation: Department of General Surgery, Medicine School of Mustafa Kemal University 31100, Serinyol, Hatay, Turkey.
authors.forename: Cem
authors.initials: C
authors.lastname: Oruc
authors.affiliation: Department of General Surgery, Medicine School of Mustafa Kemal University 31100, Serinyol, Hatay, Turkey.
authors.forename: Erol
authors.initials: E
authors.lastname: Kilic
authors.affiliation: Department of General Surgery, Medicine School of Mustafa Kemal University 31100, Serinyol, Hatay, Turkey.
authors.forename: Muhyittin
authors.initials: M
authors.lastname: Temiz
keywords: Liver hydatid cyst; percutaneous aspiration irrigation and reaspiration; recurrence; surgical treatment