PERICYSTECTOMY FOR LIVER HYDATID CYST: SINGLE CENTER EXPERIENCE

Objective: To analyze the results of total pericystectomy in hepatic hydatid disease. Material and Method: The data of patients who underwent total pericystectomy between 1999-2019 was evaluated. Results: Of 308 patients treated as in-patients, 32 (17 females-15 males) were found to have had total pericystectomy. Median age was 44 (range:17-73) years. Indications were: easily accessible anatomic location (20), albendazole toxicity (4), unresponsiveness to albendazol treatment (4), tumor suspicion (2), pregnancy (1) and nonadherence to albendazole use (1). Median cyst diameter was 75 mm (42-100), median cyst number was 1 (1-8). Fourteen patients had more than one cyst. Total pericystectomy alone was performed in 23 patients, while additional cysts were treated in a further 9. Of the 23 pericystectomy only patients, 18 received closed and 5 open pericystectomy. Median 36 minutes (12-78) Pringle clamping was performed in 10 patients. Median hospital stay was 6 days (1-60). Low output (<150 cc/day) bile fistula was seen in 3 patients, intraabdominal infection in 2 patients and superficial infection in 2 patients. No recurrence was observed during a median follow-up of 62 months (14-236) in 20 pericystectomy only patients. Conclusion: Pericystectomy can be performed with low morbidity and mortality in an experienced center. Recurrence risk is reduced in comparison with conservative surgery.