Hydatid disease of the liver in children: Evaluation of surgical treatment

Celebi F., Salman A., Erdogan F., Gumus M., Oren D.

JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, cilt.30, sa.1, ss.66-70, 2002 (SCI-Expanded) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 30 Sayı: 1
  • Basım Tarihi: 2002
  • Doi Numarası: 10.1177/147323000203000110
  • Dergi Adı: JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.66-70
  • Anahtar Kelimeler: hydatid disease, surgical management, children, liver
  • Atatürk Üniversitesi Adresli: Evet

Özet

The medical records of 55 paediatric patients with hepatic hydatidosis, who were treated between 1990 and 2001 at Ataturk University, Turkey, were reviewed retrospectively. The most common symptoms at presentation were abdominal mass (32.7% of cases) and pain (81.8% of cases) in the right upper quadrant of the abdomen. Cysts were found in the right lobe in 41 patients, in the left lobe in four patients and in both lobes in 10 patients. Multiple hepatic cysts were present in 12 cases and eight patients also had cysts in other organs. Surgical procedures were evacuation of the cyst and management of the cavity with tube drainage, capitonnage, omentoplasty, cystectomy or segmentectomy. Long-lasting biliary fistula (two patients) and cholangitis (two patients) developed following evacuation and tube drainage, and one patient developed cholangitis after capitonnage. This review suggests that omentoplasty and capitonnage are more effective than tube drainage in the management of the cyst cavity.