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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Does primary surgical management of liver hydatid cyst influence recurrence?
Journal of Gastrointestinal Surgery, Volume 14, No. 7, Year 2010
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Description
Background and aims: Hydatid disease is still a major health problem in sheep-raising areas. Surgery remains the basic treatment for liver hydatid cyst (LHC). However, recurrences can occur after all therapies. Surgery for recurrence of LHC becomes technically more difficult with higher rate of morbidity and mortality. The aim of this study was to determine perfective factors associated to hepatic recurrence after LHC surgery and to propose and discuss postoperative follow-up schedules. Methods: It is a retrospective cohort study of 672 patients with LHC treated at the surgery department "A" at Ibn Sina University Hospital, Rabat, Morocco, from January 1990 to December 2004. Recurrence rates have been analyzed by the Kaplan-Meier method for patients undergoing surgery. Results: Fifty-six patients (8.5%) had LHC recurrence after surgery. There were 34 females (60.7%) and 22 males (39.3%). Median duration of recurrence's diagnosis was 24 months (interquartile range: 10-48 months). Recurrence's risk was 2.3% ± 0.6% at 1 year and 9.1% ± 1.3% at the 10th year. The history of LHC (hazard ratio, 2; 95% confidential interval, 1.13-3.59) and three cysts or more (hazard ratio, 3.8; 95% confidential interval, 2.07-6.98) was an independent risk factor for recurrence. Conclusion: We think that the surgeon's practice and experience are the most important to success the surgical treatment. It prevents complications and recurrences. © 2010 The Society for Surgery of the Alimentary Tract.
Authors & Co-Authors
El Malki, Hadj Omar
Morocco, Sale
Surgery Departement a Ibn Sina Hospital
Morocco, Rabat
Mohammed V University in Rabat
El Mejdoubi, Yasser E.
Morocco, Sale
Surgery Departement a Ibn Sina Hospital
Souadka, Amine
Morocco, Sale
Surgery Departement a Ibn Sina Hospital
Zakri, Belkacem
Morocco, Sale
Surgery Departement a Ibn Sina Hospital
Mohsine, Raouf
Morocco, Sale
Surgery Departement a Ibn Sina Hospital
Ifrine, Lahssan
Morocco, Sale
Surgery Departement a Ibn Sina Hospital
Abouqal, Redouane
Morocco, Rabat
Mohammed V University in Rabat
Morocco, Agdal Rabat
Ibn Sina Hospital, Agdal Rabat
Belkouchi, Abdelkader
Morocco, Sale
Surgery Departement a Ibn Sina Hospital
Statistics
Citations: 36
Authors: 8
Affiliations: 3
Identifiers
Doi:
10.1007/s11605-010-1220-0
ISSN:
1091255X
Research Areas
Environmental
Health System And Policy
Study Design
Cohort Study
Study Approach
Quantitative
Study Locations
Morocco
Participants Gender
Female