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KMID : 0371420211000050270
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Annals of Surgical Treatment and Research
2021 Volume.100 No. 5 p.270 ~ p.275
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The usefulness of drainage-internal capitonnage with/without selective bile duct repair technique for liver hydatid cyst
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Akcam Atilgan Tolga
Saritas Ahmet Gokhan
Dalci Kubilay
Ulku Abdullah
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Abstract
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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.
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KEYWORD
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Capitonnage, Echinococcosis, Liver
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