Journal of Medicine and Life Vol. 11, Issue 3, July-September 2018
208
The post-treatment evolution was favorable in 81% of
the cases, a fact that is entirely expected when considering
a benign condition with multiple
therapeutic options and an
ongoing development.
Comparing the results obtained with those in literature,
both similarities and consistent differences were found. If
women were more numerous than men in the study group, the
general data denies the existence of a significant difference in
the incidence in the two sexes. Also, the age most commonly
diagnosed with hepatic hydatid cyst is 45-64 years, but in this
case, the age group with the most patients was 30-49 years.
From the paraclinical point of view, there are differences in
the frequency with which eosinophilia is encountered (25% in
the literature versus 39% in the present group) and the type
of hepatic syndrome more common (cholestasis syndrome
in the literature versus the cytolysis syndrome). The most
frequent location
was in the right hepatic lobe, same as in
specialist literature. However, the frequency of complicated
cysts was much lower in the study group (up to 50% in other
studies vs. 11%). In terms of treatment, it is advisable to
choose between medication, minimally invasive techniques
and open surgery, all used depending on the stage and
size of the cyst. Among the most commonly used open
surgery procedures is the Lagrot cystectomy with partial
pericystectomy, both in specialty
literature and in our study
group (88% of open surgery interventions).
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