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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2012 February;25(1):1-6
Evaluation of 445 surgically treated liver hydatid cyst cases in Eastern Turkey
Albayrak Y. 1, Albayrak A. 2, Demiryilmaz I. 3, Aylu B. 4, Aslan S. 4, Yenisolak A. 5, Cengiz Güzel İ. 4, Ugurlu T. 6, Ozog B. 4
1 Department of General Surgery and Burn Unit, Erzurum Region Education and Research Hospital, Erzurum, Turkey;
2 Department of Infectious Diseases and Clinical Microbiology, Erzurum Region Education and Research Hospital, Erzurum, Turkey;
3 Department of General Surgery, Ibn-i Sina Hospital Kayseri, Turkey;
4 Department of General Surgery, Erzurum Region Education and Research Hospital, Erzurum, Turkey;
5 Department of General Surgery, Trabzon Region Education and Research Hospital, Trabzon, Turkey;
6 Department of General Surgery, Buhara Hospital, Erzurum, Turkey
Aim. Hydatid cyst (HC) is still an endemic health problem in many countries. This article deals with retrospectively analyzed discusses the therapeutic options and treatment results reported in the current literature.
Methods. This article deals with retrospectively analyzed data of 445 patients treated for liver HC in our center during a 20-year period. The results were classified according to symptoms, method of diagnosis, surgical methods, and complications.
Results. There were 322 (72.4%) female patients and 123 (27.6%) male patients in our series. In 424 (95.3%) of the 445 patients only the liver was affected, and 21 (4.7%) patients had concomitant hepatic and extrahepatic disease. A total of 14 (3.1%) patients had cysts in the lungs, and 8 (1.8%) had cysts in the spleen. The complication most often encountered was long-term tube drainage, which occurred in 55 (12.3%) patients. A total of 5 (1.12%) patients died.
Conclusion. We believe that the results of our study and other studies related to HC in Turkey, have uncovered only “piece of the cake” regarding the problem of HC in Turkey. Since our area is a cattle-and sheep-raising region in Turkey, this may explain our higher incidence of the disease. Therefore, improving living and care conditions of cattle in countries where HC is prevalent, separating grazing areas of cattle from human usage areas (picnic areas, etc.), providing better veterinary care to areas where cattle are raised, and always consuming well-cooked meat will significantly reduce the occurrence of this disease.