Surgical Management of Complex Hydatid Cyst with Biliary Fistula at the Army Liver Transplant Unit, Rawalpindi
DOI:
https://doi.org/10.51253/pafmj.v76iSUPPL-3.9479Keywords:
Complex Hydatid Cysts, Hepatic Echinococcus, Liver, Postoperative ComplicationsAbstract
Objective: To examine the surgical management of complicated hydatid cysts with biliary fistula at Army Liver Transplant Unit Rawalpindi.
Study Design: Retrospective longitudinal study.
Place and Duration of Study: Army Liver Transplant Unit, Rawalpindi Pakistan, from Jan to Jul 2022.
Methodology: Our study included 30 patients aged 15-64 years who had undergone surgery for complicated liver hydatid cysts. Simple liver hydatid cysts and hydatid cysts in other organs were excluded. Patients were treated with two surgical approaches: we compared deroofing surgical approach (Group-A) with radical approach (Group-B). For comparison of complications in surgical management, Chi-square test was used.
Results: The mean age of patients was 55.77±15.39 years. Out of 30 patients, 12(40.0%) were male and 18(60.0%) were female. In patients of Group-A, 1(4.8%) had respiratory infection, 3(14.3%) had pleural effusion, 4(19.0%) had wound infection, 4(19.0%) had biliary fistula, 3(14.3%) had intra-abdominal abscess, 3(14.3%) had postoperative bleeding, 2(9.5%) had bile leak and 1(4.8%) had no complications. In patients of Group-B, 3(33.3%) had wound infection and 6(66.7%) had no complications. This difference was statistically significant (p=0.013), showing that more complications were present in patients managed using deroofing.
Conclusion: The best outcomes, those lasting long-term, were achieved using the radical surgical approach as compared to deroofing.
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Copyright (c) 2026 Muhammad Sufyan, Nasir Mehmud Wattoo, Umar Bashir, Hassan Shabbir, Muhammad Umair Khalid, Madiha Noreen
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