Acute complications of liver hydatidosis: Still associated with significant morbidity
Objective: To detail the pattern of postoperative morbidity in patients with acute complications of liver hydatidosis.Methods: We retrospectively studied all patients with liver hydatidosis, managed in a tertiary university centre between January 2011 and December 2016.Results: Fifty-three patients...
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Wolters Kluwer Medknow Publications
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doaj-a984589128384499ac48c8ee3ac4b2fd2020-11-24T23:55:21ZengWolters Kluwer Medknow PublicationsJournal of Acute Disease2221-61892589-55162017-01-016521421710.4103/2221-6189.219615Acute complications of liver hydatidosis: Still associated with significant morbidityGianmarco LotitoIonut NegoiMircea BeuranObjective: To detail the pattern of postoperative morbidity in patients with acute complications of liver hydatidosis.Methods: We retrospectively studied all patients with liver hydatidosis, managed in a tertiary university centre between January 2011 and December 2016.Results: Fifty-three patients with cystic liver echinococcosis and a mean age of (43.64±17.54) years were selected. The mean diameter of the cyst was (8.11± 4.84) cm. Thirty-five (66%), 12 (22.6%), 4 (7.5%), and 2 (3.8%) patients had one, two, three, or four cysts, respectively. Nine (17%) patients were admitted in an emergency setting. The surgical approach was by laparotomy in 43 (81.1%) and by laparoscopy in 10 (18.9%) patients. Eleven (20.8%) patients developed postoperative complications: Class I – 3 (5.7%), Class II – 7 (13.3%), Class III – 1 (1.9%), Class IV – 1 (1.9%) patient according to Clavien-Dindo classification. Four (7.5%) patients developed long-term complications. 18 (34%) patients had more than one hospital admissions.Conclusions: Acute complications of the liver hydatid disease are associated with significant post-therapeutic morbidity, which correlates with the cyst's type according to Gharbi classification.http://www.jadweb.org/article.asp?issn=2221-6189;year=2017;volume=6;issue=5;spage=214;epage=217;aulast=LotitoHepatic cystic echinococcosisHepatic hydatid cystsTherapy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gianmarco Lotito Ionut Negoi Mircea Beuran |
spellingShingle |
Gianmarco Lotito Ionut Negoi Mircea Beuran Acute complications of liver hydatidosis: Still associated with significant morbidity Journal of Acute Disease Hepatic cystic echinococcosis Hepatic hydatid cysts Therapy |
author_facet |
Gianmarco Lotito Ionut Negoi Mircea Beuran |
author_sort |
Gianmarco Lotito |
title |
Acute complications of liver hydatidosis: Still associated with significant morbidity |
title_short |
Acute complications of liver hydatidosis: Still associated with significant morbidity |
title_full |
Acute complications of liver hydatidosis: Still associated with significant morbidity |
title_fullStr |
Acute complications of liver hydatidosis: Still associated with significant morbidity |
title_full_unstemmed |
Acute complications of liver hydatidosis: Still associated with significant morbidity |
title_sort |
acute complications of liver hydatidosis: still associated with significant morbidity |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Acute Disease |
issn |
2221-6189 2589-5516 |
publishDate |
2017-01-01 |
description |
Objective: To detail the pattern of postoperative morbidity in patients with acute complications of liver hydatidosis.Methods: We retrospectively studied all patients with liver hydatidosis, managed in a tertiary university centre between January 2011 and December 2016.Results: Fifty-three patients with cystic liver echinococcosis and a mean age of (43.64±17.54) years were selected. The mean diameter of the cyst was (8.11± 4.84) cm. Thirty-five (66%), 12 (22.6%), 4 (7.5%), and 2 (3.8%) patients had one, two, three, or four cysts, respectively. Nine (17%) patients were admitted in an emergency setting. The surgical approach was by laparotomy in 43 (81.1%) and by laparoscopy in 10 (18.9%) patients. Eleven (20.8%) patients developed postoperative complications: Class I – 3 (5.7%), Class II – 7 (13.3%), Class III – 1 (1.9%), Class IV – 1 (1.9%) patient according to Clavien-Dindo classification. Four (7.5%) patients developed long-term complications. 18 (34%) patients had more than one hospital admissions.Conclusions: Acute complications of the liver hydatid disease are associated with significant post-therapeutic morbidity, which correlates with the cyst's type according to Gharbi classification. |
topic |
Hepatic cystic echinococcosis Hepatic hydatid cysts Therapy |
url |
http://www.jadweb.org/article.asp?issn=2221-6189;year=2017;volume=6;issue=5;spage=214;epage=217;aulast=Lotito |
work_keys_str_mv |
AT gianmarcolotito acutecomplicationsofliverhydatidosisstillassociatedwithsignificantmorbidity AT ionutnegoi acutecomplicationsofliverhydatidosisstillassociatedwithsignificantmorbidity AT mirceabeuran acutecomplicationsofliverhydatidosisstillassociatedwithsignificantmorbidity |
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