title: Surgical treatment of hepatic hydatid cysts A retrospective analysis of 425 patients.
abstract: BACKGROUND
  We aimed to retrospectively analyze patients who underwent surgical treatment in our clinic for hydatid cysts in terms of the surgical methods implemented and their results.
  
  
  METHODS
  Archival records of the patients who underwent surgery for the treatment of hydatid cysts between 2007 and 2014 were analyzed retrospectively.
  
  
  RESULTS
  The records of 425 patients who underwent surgery with varying ages of 16 to 88 years (mean: 44.5) were obtained. Among the patients, 33.9% (n=144) were male and 66.1% (n=281) were female. The most frequent symptoms were abdominal pain (46.4%) and dyspepsia (30.9%). About 79.5% of the patients had hydatid cysts in their livers, and 66.8% of these cysts were on the right lobe of the liver. Surgical intervention was performed on 513 cysts. The average diameter of these cysts was 8.3 cm. About 85.5% (n= 438) of the interventions implemented were partial cystectomy. Laparotomy was performed through the right subcostal incision on 81% (n=345) of the patients who underwent conventional surgery. The most frequently encountered complication was biliary fistula. The mortality rate was 0%.
  
  
  CONCLUSIONS
  The results showed that most of the cases were uncomplicated isolated hepatic hydatid cysts frequently found on the right lobe of the liver. The most frequently implemented surgical procedure was partial cystectomy. This procedure was simple, fast and applicable for uncomplicated hepatic hydatid cysts.
  
  
  BACKGROUND
  Hepatic hydatid cyst, Mortality, Partial cystectomy.
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Yucel
authors.forename: Ahmet
authors.initials: A
authors.lastname: Seker
authors.forename: Irfan
authors.initials: I
authors.lastname: Eser
authors.forename: Abdullah
authors.initials: A
authors.lastname: Ozgonul
authors.forename: Alpaslan
authors.initials: A
authors.lastname: Terzi
authors.forename: Orhan
authors.initials: O
authors.lastname: Gozeneli
authors.forename: Timucin
authors.initials: T
authors.lastname: Aydogan
authors.forename: Ali
authors.initials: A
authors.lastname: Uzunkoy
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001658:Biliary Fistula / Q000209:etiology; D004444:Echinococcosis, Hepatic / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012008:Recurrence; D012189:Retrospective Studies; D012422:Rupture, Spontaneous; D014421:Turkey / Q000453:epidemiology; D055815:Young Adult