head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2022, vol. 28, issue4
Subject Area: Medicine
DOI: 10.5272/jimab.2022284.4728
Published online: 12 December 2022

Original article
J of IMAB. 2022 Oct-Dec;28(4):4728-4730
Konstantin KostovORCID logo Corresponding Autoremail,
Department of General, Visceral and Emergency Surgery, UMHATEM "N. I. Pirogov" – Sofia, Bulgaria.

Purpose: The aim of the study is to analyze the clinical symptoms, surgical approach and postoperative complications of patients with hydatid cysts of the liver in UMHATEM “N.I.Pirogov”.
Material and Methods: A total of 39 patients with a diagnosis of hydatid cyst of the liver were admitted to the hospital for a two-year period from 01.01.2019 to 01.01.2021 in the Department of General, Visceral and Emergency Surgery at UMHATEM "Pirogov". Confirmation of diagnosis was based on history, physical examination, laboratory results, ultrasound and CT. Of those hospitalized women were 14 (35.9%), men 25 (64.1%).
Results: Тopographically,27 of the cases (69.23%) with liver cysts were located in the right lobe and 12 (30.77%) of them-in the left lobe of the liver. The diameter of the cysts varied from 7 cm-35 cm. There were two groups of patients. With multiple cyst were 29 (74.36%) of the cases, while the group of the single cyst were 10 (25.64%). The operating time varied between 49 and 135 minutes (average 57.4 minutes). The hospital stay ranged from 4 days to 9 days (average 7.1 days).
Conclusion: The surgical approach of hydatid liver cyst with the appropriate election of the different therapy opportunities according to the size, number, and location of cysts in the liver, combined with medical therapy, remains the favorable solution.

Keywords: hydatid cyst, liver, surgery, approach, complications,

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Please cite this article as: Kostov K. Current mode of treatment of the hepatic hydatid cyst. J of IMAB. 2022 Oct-Dec;28(4):4728-4730. DOI: 10.5272/jimab.2022284.4728

Corresponding AutorCorrespondence to: Assoc. Prof. Konstantin Kostov, MD, PhD, Surgical Clinic, UMHATEM "N. I. Pirogov"; 21, Totleben Blvd., 1606 Sofia, Bulgaria; E-mail: dr.k.kostov@gmail.com

1. Dogan R, Yuksel M, Cetin G, Suzer K, Alp M, Kaya S, et al. Surgical treatment of hydatid cysts of the lung: report on 1055 patients. Thorax. 1989 Mar; 44(3): 192–9. [PubMed]
2. Dawson JL, Stamatakis JD, Stringer MD, Williams R. Surgical treatment of hepatic hydatid disease. Br J Surg. 1988 Oct; 75(10): 946–50. [PubMed]
3.Frider B, Larrieu E, Odriozola M. Long-term outcome of asymptomatic liver hydatidosis. J Hepatol 1999 Feb; 30(2):228–31. [PubMed]
4. Taylor BR, Lange B. Current surgical management of hepatic cyst disease. Adv Surg. 1997; 31:127-48. [PubMed]
5. Barros JL. Hydatid disease of the liver. Am J Surg. 1978 Apr;135(4):597–600. [PubMed]
6. Lewis JW Jr, Koss N, Kerstein MD. A review of echinococcal disease. Ann Surg 1975 Apr;181(4):390–6. [PubMed]
7. Botezatu C, Mastalier B, Patrascu T. Hepatic hydatid cyst - diagnose and treatment algorithm. T J Med Life. 2018 Jul-Sep;11(3):203-209. [PubMed]
8. Dehkordi AB, Sanei B, Yousefi M, Sharafi SM, Safarnezhad F, Jafari R, et al. Albendazole and Treatment of Hydatid Cyst: Review of the Literature. Infect Disord Drug Targets. 2019;19(2):101-104. [PubMed]
9. Wen H, Vuitton L, Tuxun T, Li J, Vuitton DA, Zhang W, et al. Echinococcosis: Advances in the 21st Century. ClinMicrobiol Rev. 2019 Feb 13;32(2):e00075-18 [PubMed].

Received: 08 May 2022
Published online: 12 December 2022

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