title: The role of perioperative endoscopic retrograde cholangiopancreatography and biliary drainage in large liver hydatid cysts.
abstract: BACKGROUND
  The best surgical technique for large liver hydatid cysts (LHCs) has not yet been agreed on. Objectives. The objective of this study was to examine the role of perioperative endoscopic retrograde cholangiopancreatography (ERCP) and biliary drainage in patients with large LHCs. MetHODS: A 20-year retrospective study of patients with LHCs treated surgically at the University Clinical Center of Kosovo (UCCK). We divided patients into 2 groups based on treatment period: 1981-1990 (Group I) and 2001-2010 (Group II). Demographic characteristics (sex, age), the surgical procedure performed, complications rate, and outcomes were compared.
  
  
  RESULTS
  Of the 340 patients in our study, 218 (64.1%) were female with median age of 37 years (range, 17 to 81 years). 71% of patients underwent endocystectomy with partial pericystectomy and omentoplication, 8% total pericystectomy, 18% endocystectomy with capitonnage, and 3% external drainage. In Group I, 10 patients underwent bile duct exploration and T-tube placement; in Group II, 39 patients underwent bile duct exploration and T-tube placement. In addition, 9 patients in Group II underwent perioperative ERCP with papillotomy. The complication rate was 14.32% versus 6.37%, respectively (P = 0.001).
  
  
  CONCLUSIONS
  Perioperative ERCP and biliary drainage significantly decreased the complication rate and improved outcomes in patients with large LHCs.
authors.affiliation: Faculty of Medicine, University of Prishtina, 10000 Prishtina, Kosovo ; Department of Surgery, University Clinical Centre of Kosova, 10000 Prishtina, Kosovo.
authors.forename: A
authors.identifier: 0000-0002-8525-7440
authors.initials: A
authors.lastname: Krasniqi
authors.affiliation: Faculty of Medicine, University of Prishtina, 10000 Prishtina, Kosovo ; Department of Surgery, University Clinical Centre of Kosova, 10000 Prishtina, Kosovo.
authors.forename: B
authors.initials: B
authors.lastname: Bicaj
authors.affiliation: Faculty of Medicine, University of Prishtina, 10000 Prishtina, Kosovo ; Department of Surgery, University Clinical Centre of Kosova, 10000 Prishtina, Kosovo.
authors.forename: D
authors.initials: D
authors.lastname: Limani
authors.affiliation: Faculty of Medicine, University of Prishtina, 10000 Prishtina, Kosovo ; Department of Surgery, University Clinical Centre of Kosova, 10000 Prishtina, Kosovo.
authors.forename: M
authors.initials: M
authors.lastname: Maxhuni
authors.affiliation: Department of Surgery, University Clinical Centre of Kosova, 10000 Prishtina, Kosovo.
authors.forename: A
authors.initials: A
authors.lastname: Rrusta
authors.affiliation: Faculty of Medicine, University of Prishtina, 10000 Prishtina, Kosovo ; Department of Surgery, University Clinical Centre of Kosova, 10000 Prishtina, Kosovo.
authors.forename: F
authors.initials: F
authors.lastname: Hoxha
authors.affiliation: Faculty of Medicine, University of Prishtina, 10000 Prishtina, Kosovo.
authors.forename: A
authors.identifier: 0000-0003-0994-8036
authors.initials: A
authors.lastname: Hamza
authors.affiliation: Department of Surgery, University Clinical Centre of Kosova, 10000 Prishtina, Kosovo.
authors.forename: V
authors.identifier: 0000-0001-9859-7615
authors.initials: V
authors.lastname: Zejnullahu
authors.affiliation: Faculty of Medicine, University of Prishtina, 10000 Prishtina, Kosovo.
authors.forename: F
authors.initials: F
authors.lastname: Sada
authors.affiliation: Faculty of Medicine, University of Prishtina, 10000 Prishtina, Kosovo ; Department of Surgery, University Clinical Centre of Kosova, 10000 Prishtina, Kosovo.
authors.forename: S
authors.initials: S
authors.lastname: Hashani
authors.affiliation: Department of Surgery, University Clinical Centre of Kosova, 10000 Prishtina, Kosovo.
authors.forename: R
authors.initials: R
authors.lastname: Musa
authors.affiliation: Department of Surgery, The University of Arizona, Tucson, AZ 87524, USA.
authors.forename: R
authors.initials: R
authors.lastname: Latifi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001662:Biliary Tract Surgical Procedures / Q000379:methods*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods*; D004322:Drainage / Q000379:methods*; D004444:Echinococcosis, Hepatic / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care / Q000379:methods*; D012189:Retrospective Studies; D055815:Young Adult