Open drainage versus overlapping method in the treatment of hepatic hydatid cyst cavities

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dc.contributor.authorYol, S
dc.contributor.authorKartal, A
dc.contributor.authorTavli, S
dc.contributor.authorSahin, M
dc.contributor.authorVatansev, C
dc.contributor.authorKarahan, O
dc.contributor.authorBelviranli, M
dc.date.accessioned2020-03-26T16:27:13Z
dc.date.available2020-03-26T16:27:13Z
dc.date.issued1999
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractIn order to compare the results of open drainage and overlapping methods, 58 consecutive patients with uncomplicated hepatic hydatid disease were investigated between January 1990 and January 1997. The cavities were obliterated by overlapping method in 26 patients and were left open into the peritoneal cavity following partial pericystectomy in 32 patients. Postoperative complications and follow-up results of ultrasonography (US) and computed tomography (CT) were compared between the two groups. In total, there were 56 cysts in the obliterated group and 83 cysts in the open drainage group. There was no significant difference in age, sex, mean diameter of the cysts, US features:of the cysts according to the Gharbi classification, and median followup. Mean hospital stay was 10 days in the overlapping group and 7.5 days in the open drainage group (P = 0.033). No postoperative complication was observed in the obliterated group and nearly half of the cyst cavities could not be detected in the early postoperative period by US and CT. Pleural effusion (n = 1) and biliary fistula (n = 1) were detected in the open drainage group which disappeared spontaneously. In the open drainage group, US and CT surveillance revealed that the cyst cavities were reduced in size and the echo pattern was changed in the early postoperative period, whereas the appearance changed into pseudotumor view in the late postoperative period. In conclusion, the cyst cavities disappear perfectly in the overlapping group. Treating the cyst cavity by open drainage is an easy, effective and safe technique. Open drainage can be a 'method of choice' for patients with multiple hydatid cysts and for cysts where management is difficult or unamenable to other methods, but the residual cyst cavities may be misinterpreted as a new cyst by an inexperienced radiologist.en_US
dc.identifier.endpage143en_US
dc.identifier.issn0020-8868en_US
dc.identifier.issue2en_US
dc.identifier.pmid10408285en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage139en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/16962
dc.identifier.volume84en_US
dc.identifier.wosWOS:000082630900010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherINT COLLEGE OF SURGEONSen_US
dc.relation.ispartofINTERNATIONAL SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectliver hydatid diseaseen_US
dc.subjectsurgical therapyen_US
dc.subjectopen drainageen_US
dc.subjectoverlappingen_US
dc.titleOpen drainage versus overlapping method in the treatment of hepatic hydatid cyst cavitiesen_US
dc.typeArticleen_US

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