Outcome of Surgically Treated 79 Patients of Hepatic Hydatidosis: A Single Center Tertiary Care Hospital Experience in Bangladesh

Authors

  • Md Mamunur Rashid Associate Professor, Dept. of Hepato-biliary-Pancreatic Surgery, BIRDEM General Hospital, Shahbag, Dhaka-1000
  • Hashim Rabbi Assistant Professor, Dept. of Hepato-biliary-Pancreatic Surgery, BIRDEM General Hospital, Shahbag, Dhaka-1000
  • AHM Tanvir Ahmed Registrar, Dept. of Hepato-biliary-Pancreatic Surgery, BIRDEM General Hospital, Shahbag, Dhaka-1000
  • Osman Goni MS Student BIRDEM Academy, Dept. of Hepato-biliary-Pancreatic Surgery, BIRDEM General Hospital, Shahbag, Dhaka-1000
  • Masuda Joya Medical Officer, Dept. of Hepato-biliary-Pancreatic Surgery, BIRDEM General Hospital, Shahbag, Dhaka-1000
  • Mohammad Sazzad Hussain Resident Medical Officer, Dept. of Hepato-biliary-Pancreatic Surgery, BIRDEM General Hospital, Shahbag, Dhaka-1000
  • HM Sabbir Raihan Resident Medical Officer, Dept. of Hepato-biliary-Pancreatic Surgery, BIRDEM General Hospital, Shahbag, Dhaka-1000
  • Md Nawshad Hossain Resident Medical Officer, Dept. of Hepato-biliary-Pancreatic Surgery, BIRDEM General Hospital, Shahbag, Dhaka-1000
  • Mohammad Ali Professor, Dept. of Hepato-biliary-Pancreatic Surgery, BIRDEM General Hospital, Shahbag, Dhaka-1000

DOI:

https://doi.org/10.3329/jss.v22i2.44076

Keywords:

Hydatid cyst, Pericystectomy, partial cystectomy, hepatic hydatid, SOL Liver

Abstract

Background: Proper patient selection for most appropriate treatment option for hepatic hydatid is crucial to ensure successful treatment outcome. Chemotherapy, newer approaches, like PAIR procedure, (puncture, aspiration, injection and reaspiration) laparoscopy are available. As the indications for these approaches are restricted, surgery remains the key treatment strategy with hope for complete cure. Radical surgical excision coupled with chemotherapy and long-term aggressive chemotherapy for partially resected ensures lowest morbidity and mortality.

Methods: This cross sectional observational study of 15-year single-institution experience, intended to further validate different surgical procedures in management of hydatid disease of liver and its outcome. Patients were randomly selected irrespective of their age, sex and mode of presentation. Different preferred surgical treatment modalities, perioperative complications, recurrences, and length of hospital stay were retrospectively analyzed.

Result: The study was carried out on 79 Bangladeshi patients diagnosed hepatic hydatidosis, treated surgically from January 2002 to December 2017 in BIRDEM General Hospital. Among them was no anastomotic leakage or mortality in the immediate postoperative period in our series.

Conclusion: This study revealed, proper case selection and consideration of risks-benefits, indicationscontraindications for each case of Hydatid cyst of liver, for making a decision for type and timing of surgery is key to successful outcome. Surgery is the mainstay of treatment strategy. Radical surgery is key to effective and successful outcome, ensures better quality of life and prevents recurrence of the disease.

Journal of Surgical Sciences (2018) Vol. 22 (2) : 118-124

Downloads

Download data is not yet available.
Abstract
158
PDF
174

Downloads

Published

2020-03-22

How to Cite

Rashid, M. M., Rabbi, H., Ahmed, A. T., Goni, O., Joya, M., Hussain, M. S., Raihan, H. S., Hossain, M. N., & Ali, M. (2020). Outcome of Surgically Treated 79 Patients of Hepatic Hydatidosis: A Single Center Tertiary Care Hospital Experience in Bangladesh. Journal of Surgical Sciences, 22(2), 118–124. https://doi.org/10.3329/jss.v22i2.44076

Issue

Vol. 22 No. 2 (2018)

Section

Original Articles

License

No part of the materials published in this Journal may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, mechanical, photocopying, recording or otherwise without the prior written permission of the publisher. Reprints of any article in file Journal will be available from the publisher.