Management of Residual Cavity after Partial Cystectomy for Hepatic Hydatidosis: Comparison of Omentoplasty with External Drainage

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Abstract
To investigate the role of two approaches to the operative treatment of hepatic hydatid cysts. Prospective study. University and teaching hospital, Turkey. 108 patients with single uncomplicated hydatid cysts who were operated on in two clinics between 1990 and 1995. Introflexion and omentoplasty or external drainage after partial cystectomy in single uncomplicated hydatid cysts more than 5 cm in size. Morbidity, mortality, and hospital stay. The median hospital stay after introflexion and omentoplasty was 8 days (range 3-15), which was significantly shorter than that after external drainage (12 days, range 7-20). There were 2/35 postoperative complications in the former group compared with 17/73 in the drainage group (p = 0.03). There was one death after introflexion and omentoplasty. Introflexion and omentoplasty after partial cystectomy for a single uncomplicated hydatid cyst caused significantly fewer complications than external drainage, and patients left hospital sooner.

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