Radical Versus Conservative Surgical Treatment of Liver Hydatid Cysts
- Conditions
- Hydatid Cyst
- Registration Number
- NCT04988958
- Lead Sponsor
- Université de Sousse
- Brief Summary
The management of liver hydatid cysts (LHC) is controversial. Surgery remains the basic treatment, and can be divided into radical and conservative approaches. The purpose of this study was to compare the outcome of radical and conservative surgery (CS) in the treatment of LHC and to evaluate the efficiency and safety of radical surgery (RS).
- Detailed Description
The management of liver hydatid cysts (LHC) is controversial. Surgery remains the basic treatment, and can be divided into radical and conservative approaches. The purpose of this study was to compare the outcome of radical and conservative surgery (CS) in the treatment of LHC and to evaluate the efficiency and safety of radical surgery (RS).
Data from all patients with LHC treated in Sahloul Hospital, between January 2000 and December 2019, were retrieved from a retrospective database. To minimize selection bias, propensity score matching (PSM) was performed, based on variables representing patient characteristics and operative risk factors.
RS especially total pericystectomy had fewer postoperative complications and lower recurrence rate compared to CS. RS may be the preferred procedure for LHC if the expertise is available.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 914
- age over 14 years old.
- Patients presenting liver hydatid cyst .
- age less than 14 years old.
- Patients presenting other localization of hydtic cyst , than the liver.
- calcified cysts.
- patients with incomplete medical records.
- patients who were lost to follow up.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method recurrence of hydatic cyst 2 years recurrence of hydatid cyst after surgery
- Secondary Outcome Measures
Name Time Method