Surgical procedures for abdominal hydatid cyst: a mini-review

ABSTRACT

Hydatid disease [HD] may occur in any intra-abdominal organ and the liver is the most frequently involved. Surgery is the treatment choice for this disease. A retrospective study of 95 patients [64 female and 31 male, aged 5 to 82 years] with intra-abdominal HD. Eighty eight patients were symptomatic and the remaining seven asymptomatic. HD diagnosis was accomplished with laboratory tests, imaging techniques and serological tests. All of our material underwent surgical treatment, 61 patients by endocystectomy with drainage of the remaining cavity [by external tube or marscipulization], 23 by endocystectomy with obliteration of the remaining cavity [by omentoplasty or capitonnage] and 11 patients by cystectomy or organectomy [splenectomy, nephroectomy, cholecystectomy or cyst excision]. The morbidity rates were higher in drainage techniques compared with obliteration techniques or cystectomy [24.21%, 5.4% and 1.1 respectively]. Infections of the remaining cavity was the most common complications in 11 [11.6%] patients, followed by prolonged externqal drainage 7 [7.4%], biliary discharge 4 [4.2%] and recurrence 2 [2.1%] [table2]. Over all mortality rate 3.6%, represented by 3 patients died in our study, 2 of them due to septicaemia and one patient due to pulmonary embolism. Cysectomy and obliterating of the remaninig cavity [omentoplast and capitonnage] techniques could be advised for uncomplicated hydatid disease