{"title":"Management of residual cavity after partial cystectomy for hepatic hydatidosis: comparison of omentoplasty with external drainage.","authors":"I D Ozacmak, F Ekiz, V Ozmen, A Isik","doi":"10.1080/110241500750008448","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To investigate the role of two approaches to the operative treatment of hepatic hydatid cysts.</p><p><strong>Design: </strong>Prospective study.</p><p><strong>Setting: </strong>University and teaching hospital, Turkey.</p><p><strong>Subjects: </strong>108 patients with single uncomplicated hydatid cysts who were operated on in two clinics between 1990 and 1995.</p><p><strong>Intervention: </strong>Introflexion and omentoplasty or external drainage after partial cystectomy in single uncomplicated hydatid cysts more than 5 cm in size.</p><p><strong>Main outcome measures: </strong>Morbidity, mortality, and hospital stay.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Introflexion and omentoplasty after partial cystectomy for a single uncomplicated hydatid cyst caused significantly fewer complications than external drainage, and patients left hospital sooner.</p>","PeriodicalId":22411,"journal":{"name":"The European journal of surgery = Acta chirurgica","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/110241500750008448","citationCount":"39","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The European journal of surgery = Acta chirurgica","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/110241500750008448","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 39
Abstract
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.
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