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Article

Optimized Strategies for Managing Abdominal Hydatid Cysts and Their Complications

1
Second Surgical Department, Lucian Blaga University of Sibiu, County Clinical Emergency Hospital of Sibiu, 550024 Sibiu, Romania
2
Faculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania
3
Radiology Department, County Clinical Emergency Hospital of Sibiu, 550245 Sibiu, Romania
4
First Surgical Department, Lucian Blaga University of Sibiu, County Clinical Emergency Hospital of Sibiu, 550024 Sibiu, Romania
5
Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest Emergency University Hospital, 050474 Bucharest, Romania
6
Urology Department, Lucian Blaga University of Sibiu, County Clinical Emergency Hospital of Sibiu, 550024 Sibiu, Romania
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Diagnostics 2024, 14(13), 1346; https://doi.org/10.3390/diagnostics14131346
Submission received: 29 May 2024 / Revised: 20 June 2024 / Accepted: 21 June 2024 / Published: 25 June 2024
(This article belongs to the Section Diagnostic Microbiology and Infectious Disease)

Abstract

Hepatic hydatid cysts are an example of a zoonosis with global distribution, but with endemic characteristics in certain geographic areas. Known since ancient times, this parasitic infection predominantly affecting the liver and lungs remains a challenge today in terms of diagnosis and the pharmacological, radiological, endoscopic, or surgical therapy. This study analyzed the complications associated with different procedures for treating hydatid cysts in 76 patients admitted to the County Clinical Emergency Hospital of Sibiu. Complications occurred in 18 patients (23.7%), with no significant correlation to age, gender, or residency (urban or rural). Patients undergoing open surgery exhibited the highest complication rate (61.1%) compared to those treated with other procedures. The most frequent complication was biliary duct rupture, occurring in 22.7% of cases. Our findings indicate that the presence of complications significantly prolongs hospitalization time [t df (75) = 12.14, p < 0.001]. Based on these findings, we conclude that the surgical approach for hydatid cysts should be meticulously tailored to each patient’s specific circumstances to reduce the risk of complications and improve clinical outcomes.
Keywords: hepatic hydatid cyst; laparoscopic surgery; open surgery; ERCP; PAIR hepatic hydatid cyst; laparoscopic surgery; open surgery; ERCP; PAIR

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MDPI and ACS Style

Mihetiu, A.; Bratu, D.; Sabau, D.; Nastase, O.; Sandu, A.; Tanasescu, C.; Boicean, A.; Ichim, C.; Todor, S.B.; Serban, D.; et al. Optimized Strategies for Managing Abdominal Hydatid Cysts and Their Complications. Diagnostics 2024, 14, 1346. https://doi.org/10.3390/diagnostics14131346

AMA Style

Mihetiu A, Bratu D, Sabau D, Nastase O, Sandu A, Tanasescu C, Boicean A, Ichim C, Todor SB, Serban D, et al. Optimized Strategies for Managing Abdominal Hydatid Cysts and Their Complications. Diagnostics. 2024; 14(13):1346. https://doi.org/10.3390/diagnostics14131346

Chicago/Turabian Style

Mihetiu, Alin, Dan Bratu, Dan Sabau, Octavian Nastase, Alexandra Sandu, Ciprian Tanasescu, Adrian Boicean, Cristian Ichim, Samuel Bogdan Todor, Dragos Serban, and et al. 2024. "Optimized Strategies for Managing Abdominal Hydatid Cysts and Their Complications" Diagnostics 14, no. 13: 1346. https://doi.org/10.3390/diagnostics14131346

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