Kist hidatiğin cerrahi tedavisinde rekürrens ile ilişkili faktörler

Öz

Amaç: Kist hidatiğin küratif tedavisi cerrahi veya girişimseldir. Bununla birlikte kist hidatik tedavisinde rekürrens çok önemli bir sorun olarak karşımıza çıkmaktadır. Biz çalışmamızda kliniğimizde hidatik kist nedeniyle opere edilen hastalarda rekürrensi ve rekürrense etki eden faktörleri belirlemeyi amaçladık.

Yöntemler: Retrospektif olan bu çalışmada, hidatik kist hastalığı nedeniyle cerrahi uygulanan 228 hasta dosyası incelenerek veriler kayıt altına alındı. Bu hastalardan çalışmaya dahil edilme kriterlerine uymayan 72 hasta çalışma dışı tutuldu. Sonuçlarımız incelenerek rekürrense etkili faktörler irdelendi.

Bulgular: Hastaların 14’ünde (%8.9) rekürrens tespit edildi. Kistin lokalizasyonu, Gharbi sınıflandırması, uygulanan cerrahi teknik, kistin içeriği, safra yolu iştiraki ve tedavisi, postoperatif komplikasyonlar, kistin sayısı ve çapı ile nüks arasında bir ilişki tespit edilmedi.

Sonuç: Karaciğer kist hidatiğinde cerrahi sonrası nükse etkili faktörlerin tespiti hususunda ileriye dönük olarak planlanmış ve daha geniş hasta gruplarını içeren çalışmaların yapılmasına ihtiyaç vardır.

Anahtar Kelimeler

• Karaciğer,kist hidatik,cerrahi,rekürrens

Factors related to recurrence in surgical treatment of hydatid cyst

Abstract

Aim: Curative treatment of cyst hydatid is surgical or interventional. However, recurrence is a very important problem today. In our study, we aimed to identify factors affecting recurrence in the surgical treatment of hydatid cyst.

Methods: This study was carried out retrospectively, and the files of 228 patients operated due to hydatid cyst were examined and data were recorded. 72 patients who did not meet the inclusion criteria were excluded from the study. Our results and factors affecting recurrence were examined.

Results: The recurrence was observed in 14 patients (8.9%). No relationship could be found between the recurrence and other factors such as the localization of the cyst, Gharbi classification, applied surgical technique, the contents of the cyst, treatment, and relationship between the cyst and bile tract, postoperative complications, the number and diameter of the cyst.

Conclusion: Prospectively planned and involving larger patient groups studies are needed for the determination of the factors affecting recurrence after surgery of liver hydatid cyst.

Keywords

• Liver,surgery,hydatid cyst,surgery,recurrence

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