ArticleBMC surgery2022
Postoperative morbidity risk factors after conservative surgery of hydatic cyst of the liver: a retrospective study of 151 hydatic cysts of the liver.
Article in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 11 citations in OpenAlex.
- Article
- A public health approach to optimizing surgical outcomes for hepatic hydatid cyst: identifying predictive factors for postoperative morbidity.Frontiers in public health · 2026Article
- Preoperative predictive factors of cystobiliary fistulas in liver hydatid cysts: results of a monocentric study.Future science OA · 2025Article
- Evaluation of the necessity of simultaneous cholecystectomy in patients undergoing liver hydatid cyst surgery.Surgery open science · 2025Article
- An Imported Case of Gigantic Amoebic Liver Abscess in a 24-Year-Old Woman in Singapore.Case reports in infectious diseases · 2025Article
- Standardized approach to the conservative surgery of hepatic cystic echinococcosis: A prospective study.PLoS neglected tropical diseases · 2024Article
- Intrabiliary Rupture of a Hepatic Hydatid Cyst: A Case Report.The American journal of case reports · 2024Article
- Risk factors and management of biliary leakage after Endocystectomy for hepatic cystic echinococcosis.PLoS neglected tropical diseases · 2023Article
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5 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of the present paper is to assess the morbidity specifics risk factors of hepatic hydatid cyst after conservative surgery.
methodsWe conducted a retrospective study of 102 patients over a period of 13 years, from 2006 to 2019. We included all patients operated on hydatid cyst of the liver, complicated and uncomplicated, in the Department of General Surgery in Tahar Sfar hospital, Mahdia, Tunisia. We excluded patients who received an exclusive medical treatment and those who have other hydatic cyst localizations.
resultsThe cohort was composed of 102 patients with a total of 151 cysts operated on using conservative surgery, among them there was 75 women (73.5%) and 27 men (26.5%). The median age was 43, with extremes ranging from 12 to 88 years. The majority of patients (94.1%) were from rural areas. The cysts were uncomplicated in about half of the cases (48%), elsewhere complications such as compression of neighboring organs (25.5%), opening in the bile ducts (16.7%), infection (9.8%), and rupture in the peritoneum (2%) were found. Conservative surgery was the mainstay of treatment with an overall mortality rate of 1.9%. The overall morbidity rate was 22%: 14% specific morbidity and 8% non-specific morbidity. External biliary fistula was the most common postoperative complication (9%). The predictive factors of morbidity in univariate analysis were: preoperative hydatid cyst infection (P = 0.01), Compressive cysts (P = 0.05), preoperative fever and jaundice, (respectively P = 0.03 and P = 0.02), no one achieved statistical significance in the multivariate model.
conclusionsPreoperative hydatid cyst infection, compressive cysts and preoperative fever and jaundice could be predictor factors of morbidity after conservative surgery for liver hydatid cyst. They must be considered in the treatment and the surgical decision for patients with hydatid cyst.
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