Brief Article
Copyright ©2010 Baishideng. All rights reserved.
World J Gastroenterol. Jul 14, 2010; 16(26): 3305-3309
Published online Jul 14, 2010. doi: 10.3748/wjg.v16.i26.3305
Experience with the surgical treatment of hepatic hydatidosis: Case series with follow-up
Hector Losada Morales, Luis Burgos San Juan, Jorge Silva Abarca, Cesar Muñoz Castro
Hector Losada Morales, Luis Burgos San Juan, Jorge Silva Abarca, Cesar Muñoz Castro, Department of Surgery, Universidad de La Frontera, 4780000 Temuco, Chile; Hepato Pancreatic and Biliary Surgery, Hospital Hernán Henríquez Aravena, 4780000 Temuco, Chile
Hector Losada Morales, Luis Burgos San Juan, Jorge Silva Abarca, Department of Surgery, Clínica Alemana de Temuco, 4780000 Temuco, Chile
Hector Losada Morales, MinCir, Clinical Epidemiology in Surgery, Department of Surgery, Universidad de La Frontera, 4780000 Temuco, Chile
Author contributions: Losada Morales H, Burgos San Juan L, Silva Abarca J and Muñoz Castro C performed clinical research; Losada Morales H designed the research, collected the data and analyzed the data; Losada Morales H and Muñoz Castro C wrote the paper.
Correspondence to: Dr. Hector Losada Morales, Department of Surgery, Universidad de La Frontera, 4780000 Temuco, Chile. hflosada@ufro.cl
Telephone: +56-45-325760 Fax: +56-45-325761
Received: December 7, 2009
Revised: May 9, 2010
Accepted: May 16, 2010
Published online: July 14, 2010
Abstract

AIM: To describe patient characteristics and the results of surgical treatment for hepatic hydatidosis (HH) in the Hospital Hernán Henríquez Aravena from December 2001 to March 2005.

METHODS: Subjects older than 16 years with suspected HH were included based on the clinical picture and radiological studies. Variables examined included clinical and laboratory aspects, outcome, features of the parasite and surgical aspects. Descriptive statistics were used, calculating central tendency, dispersion and extreme tendency.

RESULTS: The series was comprised of 122 patients, with an average age of 44 ± 16.9 years. The most frequently used surgical technique was subtotal cystectomy in 90% of the patients, followed by hepatic resection (hepatectomy, segmentectomy and subsegmentectomy) in 5%. In 2%, a combination of subtotal cystectomy and segmentectomy was performed. In addition, 28% of the series presented complications in the postoperative period and mortality was 2%.

CONCLUSION: The most frequently used surgical technique for HH was subtotal cystectomy and the morbidity and mortality rates in this Chilean series are comparable to other national and international series.

Keywords: Echinococcosis of liver; Surgery; Cases series; Mortality; Morbidity