Surgical management of complicated hydatid cysts of the liver

Table 1 Demographic profile and topographic distribution of the hydatid liver cyst n = 69 n (%)

	No. of Patients
Male	27 (39.1)
Female	42 (60.9)
Solitary cysts	56 (81.2)
Multiple cysts	13 (18.8)
(R) Lobe cysts	45 (65.2)
(L) Lobe cysts	17 (24.6)
Bi-lobar cysts	7 (10.1)
Rural	39 (56.5)
Urban	30 (43.5)

Table 2 Symptomatology

Symptoms/Signs	No. of patients (n = 69)	Percentage (%)
Pain	53	76.81
Lump upper abdomen	38	55.07
Fever	21	30.43
Jaundice	6	8.70
Nausea/Vomiting	47	68.11
Anorexia	41	59.42
Upper abdominal tenderness	25	36.23
Hepatomegaly	31	44.93
Abdominal distension	1	1.44

Table 3 Symptomatology of complicated hydatid cysts (n = 18) n (%)

Pathology	Patients	Pain	Fever	Jaundice	Abdominal distension
Infected cysts	10 (55.56)	10 (100.00)	10 (100.00)	-	-
Intrabiliary rupture	6 (33.33)	4 (66.67)	2 (33.33)	6 (100.00)	-
Intraperitoneal rupture	2 (11.11)	1 (50.00)	1 (50.00)	-	1 (50.00)

Table 4 Operative procedure for managing residual hydatid cyst cavity n (%)

Simple cysts (n= 51)	19 (36)	18 (35)	9 (17)	5 (10)	-
Complicated Cysts (n = 18)
Infected cysts (n = 10)	7 (70)	3 (70)	-	-	-
Intrabiliary rupture (n = 6)	-	2 (33)	-	-	4 (67)
Intraperitoneal rupture (n = 2)	2 (100)	-	-	-	-

Table 5 Postoperative morbidity (n =69) (n, %)

Morbidity	Simple cysts(n = 51)	Complicated cysts(n = 18)
Nausea vomiting	6 (11.76)	3 (16.67)
Fever	2 (3.92)	2 (11.11)
Respiratory infection	4 (7.84)	2 (11.11)
Wound infection	2 (3.92)	3 (16.67)
Paralytic ileus	-	1 (5.56)
Biliary fistula	-	1 (5.56)
Total morbidity	14/51 (27.45)	12/18 (66.67)
Patients with morbidity	8 (15.69)	9 (50.00)
Recurrence	1 (1.96)	Nil

P < 0.05 (significant).