Kist hidatiğin cerrahi tedavisinde rekürrens ile ilişkili faktörler

Year 2018, Volume:3 Issue: 3, 118 - 122, 30.11.2018

Ayetullah Temiz Gürkan Öztürk Abdullah Kısaoğlu Ercan Korkut Erdem Karadeniz

https://doi.org/10.25000/acem.434719

Abstract

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.

Keywords

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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