RADICAL SURGERY FOR LIVER HYDATID-DISEASE - A STUDY OF 89 CONSECUTIVEPATIENTS

Background/Aims: This study was designed to evaluate the effectiveness of radical surgery for Liver hydatid disease. Materials and Methods: Hospital charts of 104 consecutive patients with liver hydatidosis obs erved in our unit during the period 1982-1994 were reviewed. A total o f 121 cysts in 89 patients were treated surgically: with cystopericyst ectomy in 66 and liver resection in 23. Results: The overall incidence of postoperative complications was 19%: 19.7% and 17.1% after cystope ricystectomy and liver resection, respectively (p=0.32). Overall posto perative mortality was 1%. Among the 72 patients available for follow- up, only one (1%) had a Local recurrence of the disease. Conclusions: Results suggest the safety and efficacy of radical procedures in the s urgical management of liver hydatid disease. Total cystopericystectomy is the treatment of choice but liver resection is justified in select ed cases.