HYDATID DISEASE OF LIVER- AN OBSERVATIONAL STUDY IN TERTIARY CARE CENTER IN CENTRAL INDIA.

Corresponding Author:
Dr. Anurag Jain,
#27, Anand Bagichi,
Agrawal Nagar,
Indore, Madhya Pradesh,
India.
E-mail: rajivrameshjain@gmail.com

ABSTRACT

BACKGROUND

Hydatid cyst is caused by the tapeworm Echinococcus granulosus. The abdomen, specifically the liver, is the most commonly affected organ. This study was carried out to determine the presentation patterns, types of surgical management, and outcomes of patients operated for intra-abdominal liver hydatid cyst (IAHC).

METHODS

We performed a combined prospective & retrospective observational study, in the department of surgery in a tertiary care centre, Sri Aurobindo Medical College & P.G. Institute, Indore (M.P.). We included patients of age ranging between 18 to 60 years for prospective study from December 2016 to June 2018 & for retrospective study from June 2015 to December 2016.

RESULTS

Total 41 patients were included in our study. The distribution of disease between male and female was 70.7% and 29.3% respectively. The right lobe harboured the cyst in 61.0% cases and the left in 34.1% & 4.9% of the patients had disease in both the lobes. In the present study, the commonest symptom of hydatid cyst of liver was mass per abdomen in 21 patients (51.2%) followed by pain in abdomen in 20 patients (48.8%) and nausea in 34.1%. In our study, 22 (53.7%) patients underwent laparoscopic surgery, 13 (31.7%) patients underwent open surgery, 1 (2.4%) patient underwent PAIR and 5 (12.2%) patients received expectant treatment.

CONCLUSIONS

Most common location of liver hydatid was found to be right lobe. Majority of liver hydatid were treated by laparoscopic surgery in which deroofing with omentoplasty was done, which was found to be an optimum treatment in our institute.

KEY WORDS

Echinococcosis, Hepatic Hydatid Disease, Scolicidal Agent, Laparoscopic, Omentoplasty, Marsupialization, Cystopericystectomy, Enucleation, External Drainage, Capitonnage, Enucleation, Pair