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Mansy et al. Mini-invasive Surg 2018;2:36 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2018.48

Original Article Open Access

Outcomes of radical surgical management in liver
hydatid cysts: 7 years center experience

Wael Mansy , Morsi Mohamed , Sameh Saber 2
1
1
1 Hepatobiliary Surgery, General Surgery Department, Zagazig University, Zagazig 44511, Egypt.
2 Intervention Radiology, Zagazig University, Zagazig 44511, Egypt.

Correspondence to: Dr. Wael Mansy and Morsi Mohamed, Hepatobiliary Surgery, General Surgery Department, Zagazig
University, Advanced Hepato-Pancreateco-Biliary Center, Koliat Al Tob Street, Zagazig 44511, Egypt.
E-mail: drwaelmansy@hotmail.com; drmorsi@yahoo.com

How to cite this article: Mansy W, Mohamed M, Saber S. Outcomes of radical surgical management in liver hydatid cysts: 7 years
center experience. Mini-invasive Surg 2018;2:36. http://dx.doi.org/10.20517/2574-1225.2018.48

Received: 7 Jul 2018 First Decision: 12 Jul 2018 Revised: 27 Aug 2018 Accepted: 30 Sep 2018 Published: 23 Oct 2018

Science Editor: Charles F. Bellows Copy Editor: Cai-Hong Wang Production Editor: Zhong-Yu Guo

Abstract
Aim: To evaluate our experience of radical treatment in management of liver hydatid cyst. As liver is considered the
organ most frequently infected with hydatid disease.
Methods: We performed a retrospective study concerning surgical management of liver hydatid cyst at Advanced
Hepato-Pancreateco-Biliary Center. Our study done from June 2011 to May 2018 on 103 patients presented with hepatic
hydatid cyst.

Results: Total pericystectomy was carried out in 80 (77.67%) patients; while hepatic resection was carried out in 14
(13.59%) patients. Laparoscopic management was done in 6 (5.82%) patients (5 cases with total pericystectomy and
1 case with sub-total pericystectomy and omentoplasty). Twenty-one patients developed post-operative complications,
four patients suffered from biliary leak. There was no mortality. Follow-up period ranged from 6 to 60 months with no
recurrence.

Conclusion: Radical surgical procedures were safe and effective in management of hepatic hydatid cyst when it was done
by experienced surgeons, with lower morbidity rates and no recurrence.
Keywords: Liver hydatid cysts, pericystectomy, hepatic resection, cystobiliary communications, recurrent hydatid

INTRODUCTION
Echinococcus spp. is responsible for Hydatidosis. Accidental hosts are infected with one or more cysts
[1]
in different body sites, mainly in the liver . The disease is endemic in sheep rearing countries as in the
© The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
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