ArticlePediatric surgery international2026
Risk factors and nomogram construction of postoperative complications of hepatic cystic echinococcosis in children and surgical treatment selection.
Article in Pediatric surgery international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo explore the independent risk factors for postoperative complications in children undergoing radical surgery for hepatic cystic echinococcosis (HCE), thereby optimizing surgical strategies and perioperative management.
methodA retrospective study was conducted on 36 children with HCE admitted to Lhasa People’s Hospital between January 2018 and January 2024. Based on the occurrence of complications, patients were divided into groups. Preoperative clinical and imaging data were analyzed using univariate and multivariate logistic regression to identify independent risk factors, and a predictive nomogram was developed.
result47.2% of the children chose excision of hepatic hydatid internal capsule, and 33.3% chose modified radical resection. Multivariate analysis revealed that cyst area per unit weight was an independent predictor of postoperative complications in children with HCE (p < 0.05). ROC curve analysis indicated that when the cyst area per unit body weight and the number of involved liver segments jointly predicted complications, the AUC was 0.853.
conclusionThe established preoperative risk assessment model effectively identifies high-risk pediatric patients, facilitating tailored surgical planning and perioperative interventions. For children with HCE in remote regions, internal capsule excision or modified radical resection remain viable and appropriate surgical treatment options.
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