SURGICAL MANAGEMENT OF COMPLICATED LIVER HYDATID CYSTS IN ENDEMIC AREA THE REPUBLIC OF YEMEN

Author

Departments of General Surgery, Faculty of Medicine, Al-Azhar University, Nasr City, Cairo, Egypt

Abstract

Hydatidosis is a zoonotic parasite caused by the larval of Echinococcus granulosus of worldwide
distribution mainly sheep farming countries. Most of the complications are life-threatening and surgery
is the best choice of treatment.
This study evaluated the clinical presentation and the best way to surgically manage complicated
hydatid cysts in Yemen
This study was conducted in Alsalam Hospital in Saada Yemen Republic over two years From
January 2017 to January 2019. The enrolled patients were 59 with hepatic hydatid cysts (38 females &
21 males), with mean ages of 32.5 years. The surgical procedures used according to their presentations
were drainage in 25(42%), partial cystectomy and capitonnage in 15(25%), partial cystectomy and
omentoplasty in 10(17%), per cystectomy in 5(8.3%), hepatectomy in 2(3.3%) and CBD exploration in
2 (3.3%).
The results showed that hepatic hydatidosis was a single cyst in 48 patients (81.3%) and multiple in
11 patients (18.6%). Patients were classified according to complications into wound sepsis in 4(6.7%),
biliary leakage in 2(3.3%), intra-abdominal abscess in 3(5%), recurrence in 2(3.3%), bleeding in
2(3.3%) and lung atelectasis in 2(3.3%) Total postoperative morbidity was 25.4% and for surgical
procedures and post-operative complication (P <0.05)

Keywords

Journal of the Egyptian Society of Parasitology
Volume 51, Issue 3
December 2021
Pages 597-602

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