Role of Radical Surgery in the Treatment of Liver Hydatid Cyst

İngilizce (OpenAlex)

Cystic echinococcosis (CE), also known as hydatid disease, is a zoonotic disease that occurs when a parasite in the classification of cestoda, Echinococcus granulosus, transmits into the human body at the larval stage. It can be encountered in every stage of life, but mostly between 20-40 years. Approximately 60-70% of cysts develop in the liver mostly in the right lobe. It can grow in size between 1 to 5 cm per year. Usually, drainage and omentopexy are preferred after the cystotomy. Post-operatic biliary fistula occurs in 30-50% of cases. When the cystic diameter is greater than 10 cm, the occurrence rate dramatically increases. In the case of a fistula that lasts longer than 10 days, it is defined as a permanent biliary fistula. A 35-year-old male patient diagnosed with stage 2 cystic echinococcosis developed post-operative cystobiliary fistula, its treatment procedure, and the treatment cost is presented.