Liver Hydatid Cyst Associated With Biliary Tract: Is it An Important Complication Indicator?

Abstract

Background: Hydatid cyst disease is a zoonotic disease caused by echinococccus granulosus. We aimed to investigate the relation between cyst location, size, laboratory values and presence of intracavitary bile duct, and also the effects of surgical procedures.

Methods: Between March 2005 and January 2010, 100 patients who underwent surgery for hydatid cyst were reviewed retrospectively.

Results: The patients included 63 women and 37 men. The mean age was 35.6 years. A series of 134 cysts were determined in 100 patients. Partial cystectomy and drainage were applied in 88, laparoscopic drainage in 7, and total cyst excision in 5 patients. Intraoperatively, cysts associated with bile duct were found in 48 patients. The mean cyst size was 11.8 cm in the patients with cysts associated with biliary tract and 8.6 cm in the others. Preoperative aspartate aminotransferase (AST), alkaline phosphatase (ALP) and gamma-glutamyl transferase (GGT) values were higher in the patients with cysts associated with bile duct. The most common complications were biliary fistula and cavitary infection. The rate of major complication was 50%, and the mean hospital stay was 17.48 days in the patients with cysts associated with bile duct, while in the others they were 15.4% and 8.46 days, respectively.

Conclusion: Large cysts and higher values of AST, ALP and GGT were related with the presence of intracavitary bile ducts. While the surgical techniques andcysts localization and stage had no effects, cysts associated with bile duct led to higher complication rates and longer hospital stays.




doi:10.4021/jcs5w