Aim:
Since radical surgical methods in the treatment of hydatid cysts of the liver have been replaced by less invasive surgical interventions nowadays, partial cystectomy and tube drainage (PCTD) have been more popular. The evaluation of PCTD technique was aimed using the data obtained from the medical records of patients who had been operated on in our surgical clinic.
Methods:
Data of patients who had been operated on using the PCTD technique between 2007 and 2012 were compared with those of patients in whom different surgical methods had been employed. The PCTD and control groups consisted of 41 and 14 patients, respectively. The study was conducted retrospectively according to the hospital data and patient files, surgery and pathology records in addition to computer data and verbal information of the patients. Chi-square test was used in the statistical analysis where a p value of less than 0.05 was considered statistically significant.
Results:
The mean age of the subjects in the PCTD and control groups were 48 and 33.21 years, respectively. PCTD (n=41) and control (n=14) groups consisted of 22 females versus 19 males and 11 females versus 3 males, respectively. Single cysts were found in 34 patients in PCTD group versus multiple cysts in the remaining 7. Single cyst was found in 10 patients in the control group versus multiple cysts in the remaining 4. Bilateral cyst/cysts in 7, right-sided in 29 and left-sided in 5 patients in PCTD group versus bilateral cyst/cysts in 1, right-sided cyst/cysts in 11 and left-sided cyst/cysts in 2 patients in the control group were found. Complications occurred in 3 of 41 (7.31%) and in 2 of 14 (14.28%) patients in the PCTD and control groups, respectively. PCTD applicability statistically significantly correlated with male gender and the presence of a single cyst, but age and location of the cyst. Moreover, complication rate was significantly lower in the PCTD group than in controls.
Conclusion:
PCTD is a reliable and easily applicable method of choice when compared to other surgical interventions with less complication rates.
Keywords: Hydatid cyst, cystotomy, tube drainage, unroofing