Ainul Hadi, Syed Nadeem Ali Shah, Saadia Muhammad, Farrukh Ozair Shah.
Partial cystectomy and omentoplasty for liver hydatid cyst.
Pak J Surg Jan ;32(4):250-4.

Objective: To evaluate the results of partial cystectomy and omentoplasty in the management of hepatic hydatid disease over a period of four years. Study Design: Prospective study Material and Methods: Th is was a study of 35 patients with hepatic hydatid cyst who underwent partial cystectomy and omentoplasty from March 2011 till February 2015. Diagnosis was confirmed through abdominal ultrasound and CT abdomen. Pre-operative evaluation was done to assess the fitness of the patients for general anesthesia. Patients having hypertension, diabetes mellitus and other hepatobiliary conditions like liver abscess, gall stones and obstructive jaundice were excluded. Similarly patients having hydatid cyst in the left lobe of liver or other viscera were also excluded from the study. Post-operatively, patients were observed in the ward and complications like bile leak were noted. They were followed up in OPD for one year. Data was analyzed through SPSS. Results: A total of 26 patients with liver hydatid cyst underwent surgery. Male to Female ratio was 2.7:1. Mean age of the patients was 44.5 years (±12.4 SD). The average operating time was 45-90 minutes. Post operatively, 02(7.7%) patients had bile leak, 03(11.5%) had wound infection and 01(3.8%) patient developed recurrent hydatid cyst in the liver. The average hospital stay was 5.4 days. There was no post operative mortality. Conclusion: Partial cystectomy and omentoplasty is an acceptable surgical procedure for hepatic hydatid disease in terms of short hospital stay and post operative morbidity.

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