Predictors of morbidity and mortality in the surgical management of hydatid cyst of the liver
| Autor: | Mahmoud Abu-Khalaf, Ghassan R. Farah, Salam Daradkeh, Ahmad S. Sroujieh, Husam El-Muhtaseb |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Echinococcosis Hepatic medicine.medical_specialty Adolescent medicine.medical_treatment Comorbidity Postoperative Complications Risk Factors parasitic diseases Hepatectomy Humans Medicine Cyst Child Aged Retrospective Studies Aged 80 and over business.industry Mortality rate Middle Aged Vascular surgery medicine.disease Echinococcosis Surgery Cardiac surgery Logistic Models Cardiothoracic surgery Child Preschool Female Morbidity business Abdominal surgery |
| Zdroj: | Langenbeck's Archives of Surgery. 392:35-39 |
| ISSN: | 1435-2451 1435-2443 |
| DOI: | 10.1007/s00423-006-0064-2 |
| Popis: | Surgery for hydatid cyst of the liver is widely practiced worldwide; this type of management is still associated with high mortality and morbidity. The aim of this study is to find out possible predictors for this high mortality and morbidity. The medical records of 169 patients who underwent surgery for hydatid cyst of the liver were retrospectively reviewed. The mortality and the morbidity rates were assessed as well as the following eight potential predictors of mortality and morbidity: age of the patients, size of the cyst, number of cysts, other organs involved by the disease, the presence of preoperative complications, the type of surgery performed (radical or conservative), whether the disease was new or recurrent, and when surgery was performed in the first period (1973–1986) or in the second period (1987–1999). Cross-tabulation and logistic regression between mortality and morbidity (dependent variable) and the above-mentioned eight potential predictors (independent variables) were carried out. Of the 169 patients, 112 were female subjects and 57 male subjects, the age range was from 5 to 85 years (mean=39.2 years), the mortality rate was 6.5% (n=11), and the overall morbidity rate was 53.8% (n=91), while specific complications of liver hydatid cyst surgery were seen in 32% (n=54). Patients of age >40 years, with a cyst diameter of >10 cm, who presented with pre-operative complications, who had conservative surgery, and who had surgery before 1987 were having a significantly higher mortality and morbidity rate. Age, size of the cyst, the presence of pre-operative complications particularly cyst-biliary communication, and type of surgical procedure performed (conservative or radical) represent as significant predictors of mortality and morbidity of surgery for liver hydatid cyst. |
| Databáze: | OpenAIRE |
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