Ann Surg Treat Res.  2021 May;100(5):270-275. 10.4174/astr.2021.100.5.270.

The usefulness of drainage-internal capitonnage with/ without selective bile duct repair technique for liver hydatid cyst

• Akcam AT
• Saritas AG
• Dalcı K
• Ulku A

• KMID: 2515334
• DOI: http://doi.org/10.4174/astr.2021.100.5.270

Abstract

Purpose
The aim of the present study is to describe the cavity-reducing internal capitonnage technique that we used for the surgical therapy of liver hydatid cyst, and contribute to the literature by presenting the short- and long-term outcomes of the patients who were operated on with this technique.
Methods
A drainage and internal capitonnage technique was performed on 12 cases due to liver hydatid cyst in our clinic between January 2016 and December 2019.
Results
The mean age of cases was 36.25 ± 12.5 years, with 7 females and 5 males. All cases had pain in the right upper quadrant, and a sense of fullness in 5 cases. None of the cases had ruptured cysts, jaundice, or other clinical manifestations. The preoperative laboratory findings were normal in 8 cases. Intraoperative biliary-cyst communication was demonstrated in 8 cases (66.7%). Cases were followed up for a mean duration of 38.1 months (range, 24–88 months).
Conclusion
The drainage/internal capitonnage with/without selective bile duct repair is a technique that can be performed with very low morbidity and mortality rates in experienced hands, especially for centrally located hydatid cysts.

Keyword

Capitonnage; Echinococcosis; Liver