Background and Aim: Hydatid cyst is caused by Echinococcus larvae and prevalent in endemic areas worldwide. We analyzed post-procedure complications and outcomes of patients with liver hydatid cyst.
Material and Methods: We included patients who managed either by surgery or percutaneous drainage (PAIR) for hydatid liver cysts at SBÜ University Mehmet Akif İnan Hospital between January 2017 and February 2021. Age, sex, segmental location, size, number, Gharbi classification, treatment modality, length of hospital stays, and complications were recorded.
Results: We included total of 209 patients who were managed by hydatid liver cysts. Among them, 74 post-procedural complications were developed in total of 69 (33%) patients. Biliary fistula was the most prevalent complication (n=38, 18.2%). Hospitalization duration was median 5 days (2-36) and was 5 days (2-36) in patients 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 complications in patients who managed by PAIR than those 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 shorter duration of hospitalization.