THE RESULTS OF SURGICAL TECHNIQUES IN HEPATIC HYDATIDOSIS - TREATMENTWITH DRAINAGE VERSUS TREATMENT WITHOUT DRAINAGE - A 6-YEAR EXPERIENCE

Fifty-nine consecutive patients who underwent surgery for hepatic hyda tid cysts between 1 March 1988 and 31 July 1994, were included in this study. The aim was to compare the results of surgical techniques with respect to post-operative complications, morbidity and recurrence of the disease. Patients were divided into two groups. The first group, ( 1) of patients (n = 30)were treated surgically without drainage and th e second group (2) of patients (n = 29) were treated surgically with t ube drainage of the cystic cavity. In the study, there were 12 (20.33% ) male and 47 (79.66%) female patients, with an age range of between 1 6 and 85 years. In five of the patients a communication between the cy st and the biliary system was documented. 11.8% of the cysts were loca lized extrahepatically. Post-operative morbidity was 10% in group 1 an d 44.7% in group 2 (P < 0.05). Average post-operative hospital stay wa s 8.5 days in group 1 and 18.6 days in group 2 (P < 0.05). During the follow-up period, which lasted from 1 to 6 years, recurrence rates wer e not significantly different in the two groups (P < 0.05).