Abstract

ABSTRACT:
BACKGROUND:
Human Hydatid disease or echinococcosis, caused by larval form of Echinococcus granulosus, has a worldwide distribution and is endemic in many countries especially in Mediterranean region, middle and Far East.
OBJECTIVE:
To compare of different surgical procedures used in treatment of hepatic Hydatid cysts and their outcomes and complications.
PATIENTS AND METHODS:
All patients with hepatic Hydatid cysts disease both symptomatic and asymptomatic of both sexes and any age group were evaluated by history, examination and investigations and data was collected, all patients underwent surgical treatment of different procedures, outcome and complications of such procedures were analyzed.
RESULTS:
All patients were treated surgically. Surgical procedures included external drainage, simple closure, marsupialization (group A), partial cystectomy with omentoplasty, pericystectomy and segmentectomy (group B). Group A techniques carried out a higher complication rate (39.1%) compared with group B techniques (10%) (P-value <0.05).
CONCLUSION:
Partial cystectomy with omentoplasty and radical procedures as pericystectomy and segmentectomy carry a lower complication rates compared with external drainage and marsupialization but the former procedures should be reserved to more peripheral cysts and should be done with a low operative risks.