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Risk Factors for Development of Biliary Complications after Surgery for Solitary Liver Hydatid Cyst.

Abstract Biliary leakage (BL) is the most common cause of postoperative morbidity after conservative liver hydatid cyst surgery. The objective of this study was to determine incidence of BL and related risk factors in patients with solitary liver hydatid cyst who underwent conservative surgery. A total of 186 patients were included in this study. Age, gender, cyst recurrence, diameter, and localization, World Health Organization Informal Working Group on Echinococcosis (WHO-IWGE) classification, cavity management techniques, cyst content, and alkaline phosphatase (ALP) levels were evaluated with univariate and multivariate analyses. Of these patients 104 were female and 82 were male. The mean age was 43.5 ± 14.7 years. Postoperative BL was detected in 36 (19.4%) patients. Cyst diameter (P = 0.019), cyst localization (P = 0.007), WHO-IWGE classification (P = 0.017), and ALP level (P = 0.001) were the most significant risk factors for BL. Independent risk factors for BL were perihilar localization, large cyst diameter, high ALP level, and advanced age according to WHO-IWGE classification.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title the american surgeon
Publication Year Start




PMID- 28234119
OWN - NLM
STAT- MEDLINE
DA  - 20170224
DCOM- 20170310
LR  - 20170310
IS  - 1555-9823 (Electronic)
IS  - 0003-1348 (Linking)
VI  - 83
IP  - 1
DP  - 2017 Jan 01
TI  - Risk Factors for Development of Biliary Complications after Surgery for Solitary 
      Liver Hydatid Cyst.
PG  - 30-35
AB  - Biliary leakage (BL) is the most common cause of postoperative morbidity after
      conservative liver hydatid cyst surgery. The objective of this study was to
      determine incidence of BL and related risk factors in patients with solitary
      liver hydatid cyst who underwent conservative surgery. A total of 186 patients
      were included in this study. Age, gender, cyst recurrence, diameter, and
      localization, World Health Organization Informal Working Group on Echinococcosis 
      (WHO-IWGE) classification, cavity management techniques, cyst content, and
      alkaline phosphatase (ALP) levels were evaluated with univariate and multivariate
      analyses. Of these patients 104 were female and 82 were male. The mean age was
      43.5 +/- 14.7 years. Postoperative BL was detected in 36 (19.4%) patients. Cyst
      diameter (P = 0.019), cyst localization (P = 0.007), WHO-IWGE classification (P =
      0.017), and ALP level (P = 0.001) were the most significant risk factors for BL. 
      Independent risk factors for BL were perihilar localization, large cyst diameter,
      high ALP level, and advanced age according to WHO-IWGE classification.
FAU - Surmelioglu, Ali
AU  - Surmelioglu A
AD  - Department of Gastrointestinal Surgery, Haydarpasa Numune Training and Research
      Hospital, Istanbul, Turkey.
FAU - Ozer, Ilter
AU  - Ozer I
FAU - Reyhan, Enver
AU  - Reyhan E
FAU - Dalgic, Tahsin
AU  - Dalgic T
FAU - Ozdemir, Yilmaz
AU  - Ozdemir Y
FAU - Ulas, Murat
AU  - Ulas M
FAU - Bostanci, Erdal B
AU  - Bostanci EB
FAU - Akoglu, Musa
AU  - Akoglu M
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am Surg
JT  - The American surgeon
JID - 0370522
RN  - 0 (Anthelmintics)
RN  - EC 3.1.3.1 (Alkaline Phosphatase)
SB  - IM
MH  - Adult
MH  - Age Factors
MH  - Alkaline Phosphatase/blood
MH  - Analysis of Variance
MH  - Anthelmintics/administration & dosage
MH  - Biliary Fistula/epidemiology/*etiology
MH  - Echinococcosis, Hepatic/pathology/*surgery
MH  - Female
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/*etiology
MH  - Recurrence
MH  - Risk Factors
EDAT- 2017/02/25 06:00
MHDA- 2017/03/11 06:00
CRDT- 2017/02/25 06:00
PST - ppublish
SO  - Am Surg. 2017 Jan 1;83(1):30-35.

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