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. 2024 Dec 23;6(2):52-56.
doi: 10.14744/hf.2024.2024.0052. eCollection 2025.

Complications and management of patients with liver hydatid cyst: A single center experience

Firat Erkmen  1 , Mehmet Yilmaz  2 , Huseyin Yonder  3 , Faik Tatli  3 , Abdullah Ozgonul  3 , Emre Karaca  4 , Ersin Batibay  5 , Ali Uzunkoy  3
Affiliations

Complications and management of patients with liver hydatid cyst: A single center experience

Firat Erkmen et al. Hepatol Forum. .

Abstract

Background and aim: Hydatid cysts are caused by Echinococcus larvae and are prevalent in endemic areas worldwide. We analyzed post-procedure complications and outcomes of patients with liver hydatid cysts.

Materials and methods: We included patients who were managed either by surgery or percutaneous drainage (PAIR) for hydatid liver cysts at Harran University Faculty of Medicine Hospital between January 2017 and February 2021. We recorded age, sex, segmental location, size, number, Gharbi classification, treatment modality, length of hospital stays, and complications.

Results: We included a total of 209 patients who were managed by hydatid liver cysts. Among them, 74 post-procedural complications were developed in a total of 69 (33%) patients. Biliary fistula was the most prevalent complication (n=38,18.2%). Hospitalization duration was a median of 5 days (2-36) and was 5 days (2-36) in patients who underwent surgery and 3 days (range:2-7) in patients managed by PAIR. Patients with cyst diameter ≥9.5 cm were predicted to have an increased risk of complications with 70% sensitivity and 60% specificity. More patients experienced any difficulties in patients who were managed by PAIR than those who underwent surgery (65.4% vs 28.4%, p<0.001).

Conclusion: Our study showed that both surgery and PAIR are safe and effective management strategies for patients with liver cyst hydatid. PAIR was associated with more complications but a shorter duration of hospitalization.

Keywords: Liver hydatid cyst surgery; percutaneous hydatid cyst treatment; post-operative complications.

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Conflict of interest statement

The authors have no conflict of interest to declare.

Figures

Figure 1
Figure 1
Computed tomography (CT) and magnetic resonance imaging (MRI) images of three patients included in the study during pre-operative evaluation [MRI on the left (a1, b1, c1), CT on the right (a2, b2, c2)]. The arrows indicate the location of the cysts.
Figure 2
Figure 2
Graph showing the cut-off value of cyst diameter using ROC curve analysis to predict the development of postoperative complications according to cyst diameter.
Figure 3
Figure 3
A distribution of cysts according to liver segments in patients with post-operative biliary tract complications.
See this image and copyright information in PMC

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