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Journals / Akademik Gastroenteroloji Dergisi / 2004 / Cilt: 3 - Sayı: 2

Peculiarities of diagnostic and surgical treatment of liver echinococcosis with affection of bile ducts

Safra yolları zedelenmesi ile seyreden karaciğer hidatozunun teşhisi ve cerrahi tedavisinin özellikleri

Rauf Maksutoğlu AĞAYEV
Böyükkişi Ağaoğlu AĞAYEV
A. MOVÇUN
Şebruz A. NOVRUZOVA
Ali Kürşat BUDAN
Pages
61–67
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Success in such surgery is related with cyst localization, cyst number and the extent of biliary tract injury.

📌 3 Key Takeaways

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Objective & Hypothesis:Background and aims: Hydatid cyst of the liver is a common health problem in sheep- and cattle-raising areas.
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Key Findings & Data:Traditionally, surgery has been a reasonable treatment modality; however, it has a high morbidity and mortality rate.
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Conclusion & Impact:Success in such surgery is related with cyst localization, cyst number and the extent of biliary tract injury.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Safra yolu · Cerrahi işlemler · operatif

Abstract

Background and aims: Hydatid cyst of the liver is a common health problem in sheep- and cattle-raising areas. Traditionally, surgery has been a reasonable treatment modality; however, it has a high morbidity and mortality rate. The aim of this study was to investigate the post-operative complications of surgical therapy of hydatid cysts of the liver with biliary tract injury. Materials and methods: A total of 277 patients with hydatid cysts (male/female, 122/155; average age, 40.3 years, range: 9-82 years) who underwent hydatid surgery were enrolled. All patients had biliary tract injury after surgery. Biliary tract injury was diagnosed by clinical, biochemical and radiological (sonography, tomography, ERCP) methods. Results: Among the 277 individuals with hydatid cysts who had biliary tract injury after surgical treatment, 155 individuals (56%) had cystectomy for repairing bile duct fistula. Post-operative morbidity and mortality were 26% and 1.4%, respectively. Cyst abscess was the most common post-operative complication. Conclusion: Biliary tract complication after hydatid surgery is an important and commonly seen problem. Such a complication is treatable with second surgical management. Success in such surgery is related with cyst localization, cyst number and the extent of biliary tract injury.

Özet

Giriş ve amaç: Karaciğer kist hidatid enfeksiyonu koyun, sığır yerleştiren bölgelerden görülen önemli bir sağlık problemidir. Cerrahi yaklaşım, karaciğer kist hidatid tedavisinde geleneksel bir yaklaşımdır. Kist hidatid cerrahisi önemli ölçüde morbidite ve mortalite oranına sahiptir. Bu çalışma, kist hidatid nedeniyle opere olan biliyer sistem hasarlı hastaları değerlendirmek amacıyla planlanmıştır. Gereç ve yöntem: Cerrahi tedavi olan toplam 277 kist hidatidli hasta (erkek/kadın, 122/155; ortalama yaş, 40.3 yıl (aralık: 9-82 yıl) çalışmaya alındı. Hastaların hepsinde biliyer sistemde hasarı bulunmaktaydı. Biliyer sistem hasarının tanısı klinik, byokimyasal ve görüntüleme yöntemleri konuldu. Bulgular: Hidatid kist cerrahisi sonrası biliyer sistem hasarı olan 277 hastanın %56’sına (155) safra yolları hasarının tamiri için kistektomi operasyonu yapıldı. Postoperatif dönemde hastaların %26’sında morbidite ve %1.4’ünde mortalite gözlendi. Kist apsesi en sık görülen post-operatif komplikasyon idi. Sonuç: Biliyer sistem hasarı, kist hidatid cerrahisinden sonra sık görülen önemli komplikasyondur. İkincil bir cerrahi yaklaşımla bu komplikasyon tedavi edilebilir. Tedavinin başarısı kist lokalizasyonu, kist sayısı ve biliyer hasarın derecesi ile ilişkilidir.

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Cite This Article

AĞAYEV, R. M., AĞAYEV, B. A., MOVÇUN, A., NOVRUZOVA, Ş. A., BUDAN, A. K. (2004). Peculiarities of diagnostic and surgical treatment of liver echinococcosis with affection of bile ducts. Akademik Gastroenteroloji Dergisi, Cilt: 3 - Sayı: 2, 61–67. https://ajindex.com/articles/356803

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