Recurrence of Hepatic Hydatidosis: How and Why?

Abstract

Objective: For recurrence of hepatic hydatid, cysts overlooked during surgery, secondary cysts due to the spread of cystic fluid, late postoperative hydatid cyst formation and inadequate treatment are recommended. Factors affecting recurrence were investigated in cases with recurrence. In this retrospective study, data on 199 patients with hepatic hydatid disease treated by surgery in our hospital, between January 1993 and December 2018 were reviewed.Methods: In this study, patients who were operated for hepatic hydatid disease; The relationship between cyst diameters, cyst stages, number of cysts and recurrence was investigated.Results: 84 patients were male and 115 were female. Most of the cases (189 patients- 88.06 %) treated by conservative surgical methods. Remaining’s (8 patients-4.3 %) had total cystectomy or segmental hepatectomy. Recurrence rate was found 5.47%. In that cases, primary operations were done by us, there was no significant differences between cysts’ stages and recurrences. There was not significantly differences between cysts’ number and recurrences, except the patients had 2 cysts (z=2.17, p=0.03).Conclusion: The best way of prevention of the recurrence of hepatic hydatid cysts are complete diagnosis of cysts' classification, localization, and medico-surgical combination. Perioperative medical treatment must be start three days ago before the operation and should be continued for at least 6 months.

Doubling time in pulmonary and hepatic hydatid cysts

“…In addition, cystic growth has been reported to be one centimeter in diameter for the first six months, after which it is closely related to host immunity and surrounding tissue resistance, and liver cysts have been reported to grow more slowly than lung cysts. [ 9 , 10 ] In 1986, Romig et al[ 11 ] followed 44 hydatid cysts in 36 patients for up to 18 months using ultrasound for liver hydatid cysts. During the observation period, 66% of the cysts grew, while 34% remained stable, collapsed, or disappeared.…”