Preoperative predictor factors in occult cystobiliary communication of hepatic hydatid surgery

Abstract EN

Objective : Hepatic hydatid cystic disease is a common health problem.

The most frequent and undesirable complication is occult cystobiliary communication.

The objective of this study is to identify the predicting factors of such communication preoperatively in terms of age, gender, cyst size, character and location in the liver.

Methods : A total of 52 patients who underwent surgical treatment for hepatic hydatid disease between February 2013 and February 2016 were studied retrospectively.

Patients were divided into two groups: group A (with bile) and group B (without bile).

The two groups were compared according to preoperative descriptive findings, cyst size, character, location in addition to operative procedure, duration of postoperative biliary leak and hospital stay.

Results : There were 36 female compared to 16 male patients, M:F was 1:2.25.

Right lobe cyst was seen in 36 patients, while left lobe cyst in 10 patients.

Cases were divided into two groups, Group A with bile (51.9%) and Group B without bile (48.1%).

Mean cyst diameter was 8 cm in group A, and 6 cm in group B (p-value<0.05).

Univesicular cyst was detected in 33 patients and multivesicular type in 19 patients.

Multivesicular type was observed more in group A than group B (p<0.05).

Mean hospital stay for patients with group A was 6 days, and for patients in group B was 2 days (p-value<0.05).

Conclusions : Cyst diameter is an independent factor that associated with high risk of cystobiliary communication in clinically asymptomatic patients, while the type of the cyst is considered as dependent factor.