HEPATIC HYDATIC CYSTS - THERAPEUTIC AND P ROGNOSTIC CLASSIFICATION OF378 CASES

Citation
A. Settaf et al., HEPATIC HYDATIC CYSTS - THERAPEUTIC AND P ROGNOSTIC CLASSIFICATION OF378 CASES, La Presse medicale, 23(8), 1994, pp. 362-366
Citations number
7
Categorie Soggetti
Medicine, General & Internal
Journal title
ISSN journal
07554982
Volume
23
Issue
8
Year of publication
1994
Pages
362 - 366
Database
ISI
SICI code
0755-4982(1994)23:8<362:HHC-TA>2.0.ZU;2-B
Abstract
Objectives: We retrospectively examined our clinical data on hydatic c ysts of the liver collected over the last 10 years in order to determi ne a classification which could be used to guide future therapeutic de cisions. Methods: From 1982 to 1992, hydatic cysts of the liver were s urgically removed in 378 patients (mean age 38 +/- 12 years). Echograp hy had been performed in all patients. Other preoperative investigatio ns included computerized tomodensitometry (n = 57) and arteriography o f the caeliomesenteric arteries (n = 12). Histological examination of surgical specimens included research for parasite inclusions within th e pericyst and the hepatic parenchyma. Results: Single cysts were foun d in 65.7% of the cases, double cysts in 20% and multiple cysts in 12. 5%. Histology revealed parasites in the pericyst in 129 cases (34%) an d a fistula from the cyst to the bile duct was observed in 47 cases (1 2.5 %). A classification was obtained based on 5 criteria: localizatio n and number of cysts, cyst content, morphology of the pericyst and bi liary-cyst fistula. Conclusion: The excellent correlation between this classification and prognosis provides a valuable tool for the managem ent of hepatic hydatic cysts.