J Curr Surg

Journal of Current Surgery, ISSN 1927-1298 print, 1927-1301 online, Open Access

Article copyright, the authors; Journal compilation copyright, J Curr Surg and Elmer Press Inc

Journal website http://www.currentsurgery.org

Original Article

Volume 1, Number 1, December 2011, pages 25-32

Liver Hydatid Cyst Associated With Biliary Tract: Is it An Important Complication Indicator?

**Table 1.** Demographic Data of the 100 Patients
Demographic characteristic	Value
Age (years)
Mean	35.6
Range	15 - 80
Gender (Male/Female)	37/63
Symptoms and signs
Right hypochondrial pain (%)	95
Nausea and vomiting (%)	12
Icterus (%)	12
Palpable mass (%)	8
Weakness-anorexia (%)	4
Fever, chills (%)	6
Abdominal distension (%)	3

Table 1. Demographic Data of the 100 Patients

Demographic characteristic

Value

Age (years)

Mean

35.6

Range

15 - 80

Gender (Male/Female)

37/63

Symptoms and signs

Right hypochondrial pain (%)

Nausea and vomiting (%)

Icterus (%)

Palpable mass (%)

Weakness-anorexia (%)

Fever, chills (%)

Abdominal distension (%)

**Table 2.** Characteristic Features of Hepatic Hydatid Cysts
Characteristic features	Value
Total count, n	134
Number of cysts in each patient, n
One	71
Two	26
Three	1
≥ Four	1
Localization, n
Right lobe	64
Left lobe	17
Both lobe	17
Caudate lobe	1
Right and caudate lobe	1
Size (cm)
Mean	10.15
Range	4 - 30
Gharbi morphological type of cyst, n
Type 1	1
Type 2	14
Type 3	52
Type 4	33
Cysts detected with intraoperative relation to biliary tract	48

Table 2. Characteristic Features of Hepatic Hydatid Cysts

Characteristic features

Value

Total count, n

134

Number of cysts in each patient, n

One

Two

Three

≥ Four

Localization, n

Right lobe

Left lobe

Both lobe

Caudate lobe

Right and caudate lobe

Size (cm)

Mean

10.15

Range

4 - 30

Gharbi morphological type of cyst, n

Type 1

Type 2

Type 3

Type 4

Cysts detected with intraoperative relation to biliary tract

**Table 3.** Surgical Procedures Performed, Postoperative Complications, and Hospital Stays
Procedure	Patients n (%)	General complication n (%)	Major complication n (%)	Minor complication n (%)	Hospital stay (days)
PC: Partial Cystectomy
PC + Drainage + Capitonage	45 (45)	18 (40.0)	14 (31)	8 (17)	13
PC + Drainage	32 (32)	17 (53.13)	12 (37.5)	6 (18)	16.6
PC + Drainage + Omentoplasty	11 (11)	5 (45.45)	3 (27)	1 (9)	11.7
Laparoscopic drainage	7 (7)	2 (28.57)	2 (100)	2 (100)	9.71
Total cyst excision	5 (5)	1 (20)	1 (20)	1 (20)	12.40

Table 3. Surgical Procedures Performed, Postoperative Complications, and Hospital Stays

Procedure

Patients
n (%)

General complication
n (%)

Major complication
n (%)

Minor complication
n (%)

Hospital stay
(days)

PC: Partial Cystectomy

PC + Drainage + Capitonage

45 (45)

18 (40.0)

14 (31)

8 (17)

PC + Drainage

32 (32)

17 (53.13)

12 (37.5)

6 (18)

16.6

PC + Drainage + Omentoplasty

11 (11)

5 (45.45)

3 (27)

1 (9)

11.7

Laparoscopic drainage

7 (7)

2 (28.57)

2 (100)

9.71

Total cyst excision

5 (5)

1 (20)

12.40

**Table 4.** Demographic Features and Laboratory Signs of the Groups That are Detected With and Without Relation of Cystic Cavity With Biliary Tract
	Relation detected (n = 48)	No relation detected (n = 52)	P value
NS: Not Significant
Number of cysts in each patient, n (%)			NS
One	36 (75)	35 (67.3)
Two	16 (33.3)	16 (30.7)
Three	0 (0)	1 (1.7)
≥ Four	2 (4.1)	0 (0)
Localization, n (%)			P = 0.018
Right lobe	26 (54.5)	38 (73.5)
Left lobe	7 (14.5)	10 (19.3)
Both lobe	14 (29)	3 (5.3)
Caudate lobe	0 (0)	1 (1.7)
Right and caudate lobe	1 (1.9)	0 (0)
Size (cm)			P < 0.001
Mean	11.81 ± 4.71	8.61 ± 2.87
Range	6 - 30	4 - 15
Gharbi morphological type of cyst, n			NS
Type 1	1 (2)	0 (0)
Type 2	7 (14.5)	7 (14)
Type 3	28 (58.5)	24 (46)
Type 4	12 (25)	21 (40)
Serum ALT level	61.69	64.75	NS
Serum AST level	75.19	69.70	P = 0.042
Serum ALP level	162.56	124.38	P = 0.022
Serum GGT level	196.15	114.48	P = 0.030
Total bilirubin	1.97	1.11	NS
Direct bilirubin	1.29	0.52	NS
WBC	9.645	9.056	NS
Eosinophilia	17 (37.7)	10 (19.2)	NS
ERCP	8 (16.7)	5 (9.6)	NS
Icterus, n (%)	8 (16.7)	4 (7.7)	NS
Minor complications	10 (20.8)	9 (17.3)	NS
Major complications	24 (50)	8 (15.4)	P < 0.001
Hospital stay (days)	17.48	8.46	P < 0.001

Table 4. Demographic Features and Laboratory Signs of the Groups That are Detected With and Without Relation of Cystic Cavity With Biliary Tract

Relation detected
(n = 48)

No relation detected
(n = 52)

P value

NS: Not Significant

Number of cysts in each patient, n (%)

One

36 (75)

35 (67.3)

Two

16 (33.3)

16 (30.7)

Three

0 (0)

1 (1.7)

≥ Four

2 (4.1)

0 (0)

Localization, n (%)

P = 0.018

Right lobe

26 (54.5)

38 (73.5)

Left lobe

7 (14.5)

10 (19.3)

Both lobe

14 (29)

3 (5.3)

Caudate lobe

0 (0)

1 (1.7)

Right and caudate lobe

1 (1.9)

0 (0)

Size (cm)

P < 0.001

Mean

11.81 ± 4.71

8.61 ± 2.87

Range

6 - 30

4 - 15

Gharbi morphological type of cyst, n

Type 1

1 (2)

0 (0)

Type 2

7 (14.5)

7 (14)

Type 3

28 (58.5)

24 (46)

Type 4

12 (25)

21 (40)

Serum ALT level

61.69

64.75

Serum AST level

75.19

69.70

P = 0.042

Serum ALP level

162.56

124.38

P = 0.022

Serum GGT level

196.15

114.48

P = 0.030

Total bilirubin

1.97

1.11

Direct bilirubin

1.29

0.52

WBC

9.645

9.056

Eosinophilia

17 (37.7)

10 (19.2)

ERCP

8 (16.7)

5 (9.6)

Icterus, n (%)

8 (16.7)

4 (7.7)

Minor complications

10 (20.8)

9 (17.3)

Major complications

24 (50)

8 (15.4)

P < 0.001

Hospital stay (days)

17.48

8.46

P < 0.001