Publication:

Surgical management of remaining cavity after open cystectomy for hepatic hydatidosis relative study of different methods

Background Handling the residual cavity of liver hydatid cyst after surgical management, is one of the most common surgical arguments in the managing of the liver hydatid disease. The aim of this prospective study was to report our experience at Al-Nu' man Teaching Hospital, Baghdad, Iraq. To achieves a comparative study with other techniques to illuminate the appropriate acquire practice of treating the residual cavity of the hydatid disease.

Methods A prospective study that achieved on 60 patients who have liver hydatid disease. The patients were treated in Al-Nu' man Teaching Hospital, Baghdad, Iraq between March 2010 and April 2016. The residual hepatic cavity after open cystectomy was managed by one surgical method; Simple Cyst Closure, Unroofing (Partial Cysto-Pericystectomy), Omentoplasty, Capitonnage, or Drainage in order to compare and highlight the postoperative complications.

Results There were five groups according to the type of operative techniques and postoperative complication. Group I (Simple Cyst Closure). Group II (Unroofing). Group III (Omentoplasty). Group. IV (Capitonnage). Group V (Drainage). Simple cyst closure had minimum postoperative stay. Omentoplasty or Capitonnage were less postoperative stay and tiniest post-operative days of biliary or purulent discharge. Drainage group has the highest percentage of bile leakage and purulent discharge plus prolonged hospitalization.

Conclusions Uncomplicated cysts have lower complication rates and short hospital stay with each cavity management technique. Complicated cysts have higher complication rates and longer hospital stay regardless of the management technique.