The European journal of surgery = Acta chirurgica · 2000
Management of residual cavity after partial cystectomy for hepatic hydatidosis: comparison of omentoplasty with external drainage.
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Ozacmak I D, Ekiz F, Ozmen V, Isik A
Аннотация
OBJECTIVE: To investigate the role of two approaches to the operative treatment of hepatic hydatid cysts.
DESIGN: Prospective study.
SETTING: University and teaching hospital, Turkey.
SUBJECTS: 108 patients with single uncomplicated hydatid cysts who were operated on in two clinics between 1990 and 1995.
INTERVENTION: Introflexion and omentoplasty or external drainage after partial cystectomy in single uncomplicated hydatid cysts more than 5 cm in size.
MAIN OUTCOME MEASURES: Morbidity, mortality, and hospital stay.
RESULTS: The median hospital stay after introflexion and omentoplasty was 8 days (range 3-15), which was significantly shorter than that after external drainage (12 days, range 7-20). There were 2/35 postoperative complications in the former group compared with 17/73 in the drainage group (p = 0.03). There was one death after introflexion and omentoplasty.
CONCLUSION: Introflexion and omentoplasty after partial cystectomy for a single uncomplicated hydatid cyst caused significantly fewer complications than external drainage, and patients left hospital sooner.
DESIGN: Prospective study.
SETTING: University and teaching hospital, Turkey.
SUBJECTS: 108 patients with single uncomplicated hydatid cysts who were operated on in two clinics between 1990 and 1995.
INTERVENTION: Introflexion and omentoplasty or external drainage after partial cystectomy in single uncomplicated hydatid cysts more than 5 cm in size.
MAIN OUTCOME MEASURES: Morbidity, mortality, and hospital stay.
RESULTS: The median hospital stay after introflexion and omentoplasty was 8 days (range 3-15), which was significantly shorter than that after external drainage (12 days, range 7-20). There were 2/35 postoperative complications in the former group compared with 17/73 in the drainage group (p = 0.03). There was one death after introflexion and omentoplasty.
CONCLUSION: Introflexion and omentoplasty after partial cystectomy for a single uncomplicated hydatid cyst caused significantly fewer complications than external drainage, and patients left hospital sooner.