The role of perioperative endoscopic retrograde cholangiopancreatography and biliary drainage in large liver hydatid cysts

A. Krasniqi, B. Bicaj, D. Limani, M. Maxhuni, A. Rrusta, F. Hoxha, A. Hamza, V. Zejnullahu, F. Sada, S. Hashani, R. Musa, Rifat - Latifi

Research output: Contribution to journalArticle

Abstract

Background. The best surgical technique for large liver hydatid cysts (LHCs) has not yet been agreed on. Objectives. The objective of this study was to examine the role of perioperative endoscopic retrograde cholangiopancreatography (ERCP) and biliary drainage in patients with large LHCs. Methods. A 20-year retrospective study of patients with LHCs treated surgically at the University Clinical Center of Kosovo (UCCK). We divided patients into 2 groups based on treatment period: 1981-1990 (Group I) and 2001-2010 (Group II). Demographic characteristics (sex, age), the surgical procedure performed, complications rate, and outcomes were compared. Results. Of the 340 patients in our study, 218 (64.1%) were female with median age of 37 years (range, 17 to 81 years). 71% of patients underwent endocystectomy with partial pericystectomy and omentoplication, 8% total pericystectomy, 18% endocystectomy with capitonnage, and 3% external drainage. In Group I, 10 patients underwent bile duct exploration and T-tube placement; in Group II, 39 patients underwent bile duct exploration and T-tube placement. In addition, 9 patients in Group II underwent perioperative ERCP with papillotomy. The complication rate was 14.32% versus 6.37%, respectively (P=0.001). Conclusion. Perioperative ERCP and biliary drainage significantly decreased the complication rate and improved outcomes in patients with large LHCs.

Original languageEnglish (US)
Article number301891
JournalTheScientificWorldJournal [electronic resource]
Volume2014
DOIs
StatePublished - 2014

Fingerprint

Endoscopic Retrograde Cholangiopancreatography
Echinococcosis
cyst
Liver
Drainage
drainage
Ducts
Bile Ducts
Kosovo
rate
Sex Characteristics
Retrospective Studies
Demography

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Environmental Science(all)
  • Medicine(all)

Cite this

The role of perioperative endoscopic retrograde cholangiopancreatography and biliary drainage in large liver hydatid cysts. / Krasniqi, A.; Bicaj, B.; Limani, D.; Maxhuni, M.; Rrusta, A.; Hoxha, F.; Hamza, A.; Zejnullahu, V.; Sada, F.; Hashani, S.; Musa, R.; Latifi, Rifat -.

In: TheScientificWorldJournal [electronic resource], Vol. 2014, 301891, 2014.

Research output: Contribution to journalArticle

Krasniqi, A, Bicaj, B, Limani, D, Maxhuni, M, Rrusta, A, Hoxha, F, Hamza, A, Zejnullahu, V, Sada, F, Hashani, S, Musa, R & Latifi, R 2014, 'The role of perioperative endoscopic retrograde cholangiopancreatography and biliary drainage in large liver hydatid cysts', TheScientificWorldJournal [electronic resource], vol. 2014, 301891. https://doi.org/10.1155/2014/301891
Krasniqi, A. ; Bicaj, B. ; Limani, D. ; Maxhuni, M. ; Rrusta, A. ; Hoxha, F. ; Hamza, A. ; Zejnullahu, V. ; Sada, F. ; Hashani, S. ; Musa, R. ; Latifi, Rifat -. / The role of perioperative endoscopic retrograde cholangiopancreatography and biliary drainage in large liver hydatid cysts. In: TheScientificWorldJournal [electronic resource]. 2014 ; Vol. 2014.
@article{21dd824af9be4fdf9e8553f79321a6bf,
title = "The role of perioperative endoscopic retrograde cholangiopancreatography and biliary drainage in large liver hydatid cysts",
abstract = "Background. The best surgical technique for large liver hydatid cysts (LHCs) has not yet been agreed on. Objectives. The objective of this study was to examine the role of perioperative endoscopic retrograde cholangiopancreatography (ERCP) and biliary drainage in patients with large LHCs. Methods. A 20-year retrospective study of patients with LHCs treated surgically at the University Clinical Center of Kosovo (UCCK). We divided patients into 2 groups based on treatment period: 1981-1990 (Group I) and 2001-2010 (Group II). Demographic characteristics (sex, age), the surgical procedure performed, complications rate, and outcomes were compared. Results. Of the 340 patients in our study, 218 (64.1{\%}) were female with median age of 37 years (range, 17 to 81 years). 71{\%} of patients underwent endocystectomy with partial pericystectomy and omentoplication, 8{\%} total pericystectomy, 18{\%} endocystectomy with capitonnage, and 3{\%} external drainage. In Group I, 10 patients underwent bile duct exploration and T-tube placement; in Group II, 39 patients underwent bile duct exploration and T-tube placement. In addition, 9 patients in Group II underwent perioperative ERCP with papillotomy. The complication rate was 14.32{\%} versus 6.37{\%}, respectively (P=0.001). Conclusion. Perioperative ERCP and biliary drainage significantly decreased the complication rate and improved outcomes in patients with large LHCs.",
author = "A. Krasniqi and B. Bicaj and D. Limani and M. Maxhuni and A. Rrusta and F. Hoxha and A. Hamza and V. Zejnullahu and F. Sada and S. Hashani and R. Musa and Latifi, {Rifat -}",
year = "2014",
doi = "10.1155/2014/301891",
language = "English (US)",
volume = "2014",
journal = "The Scientific World Journal",
issn = "1537-744X",
publisher = "Hindawi Publishing Corporation",

}

TY - JOUR

T1 - The role of perioperative endoscopic retrograde cholangiopancreatography and biliary drainage in large liver hydatid cysts

AU - Krasniqi, A.

AU - Bicaj, B.

AU - Limani, D.

AU - Maxhuni, M.

AU - Rrusta, A.

AU - Hoxha, F.

AU - Hamza, A.

AU - Zejnullahu, V.

AU - Sada, F.

AU - Hashani, S.

AU - Musa, R.

AU - Latifi, Rifat -

PY - 2014

Y1 - 2014

N2 - Background. The best surgical technique for large liver hydatid cysts (LHCs) has not yet been agreed on. Objectives. The objective of this study was to examine the role of perioperative endoscopic retrograde cholangiopancreatography (ERCP) and biliary drainage in patients with large LHCs. Methods. A 20-year retrospective study of patients with LHCs treated surgically at the University Clinical Center of Kosovo (UCCK). We divided patients into 2 groups based on treatment period: 1981-1990 (Group I) and 2001-2010 (Group II). Demographic characteristics (sex, age), the surgical procedure performed, complications rate, and outcomes were compared. Results. Of the 340 patients in our study, 218 (64.1%) were female with median age of 37 years (range, 17 to 81 years). 71% of patients underwent endocystectomy with partial pericystectomy and omentoplication, 8% total pericystectomy, 18% endocystectomy with capitonnage, and 3% external drainage. In Group I, 10 patients underwent bile duct exploration and T-tube placement; in Group II, 39 patients underwent bile duct exploration and T-tube placement. In addition, 9 patients in Group II underwent perioperative ERCP with papillotomy. The complication rate was 14.32% versus 6.37%, respectively (P=0.001). Conclusion. Perioperative ERCP and biliary drainage significantly decreased the complication rate and improved outcomes in patients with large LHCs.

AB - Background. The best surgical technique for large liver hydatid cysts (LHCs) has not yet been agreed on. Objectives. The objective of this study was to examine the role of perioperative endoscopic retrograde cholangiopancreatography (ERCP) and biliary drainage in patients with large LHCs. Methods. A 20-year retrospective study of patients with LHCs treated surgically at the University Clinical Center of Kosovo (UCCK). We divided patients into 2 groups based on treatment period: 1981-1990 (Group I) and 2001-2010 (Group II). Demographic characteristics (sex, age), the surgical procedure performed, complications rate, and outcomes were compared. Results. Of the 340 patients in our study, 218 (64.1%) were female with median age of 37 years (range, 17 to 81 years). 71% of patients underwent endocystectomy with partial pericystectomy and omentoplication, 8% total pericystectomy, 18% endocystectomy with capitonnage, and 3% external drainage. In Group I, 10 patients underwent bile duct exploration and T-tube placement; in Group II, 39 patients underwent bile duct exploration and T-tube placement. In addition, 9 patients in Group II underwent perioperative ERCP with papillotomy. The complication rate was 14.32% versus 6.37%, respectively (P=0.001). Conclusion. Perioperative ERCP and biliary drainage significantly decreased the complication rate and improved outcomes in patients with large LHCs.

UR - http://www.scopus.com/inward/record.url?scp=84912544215&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84912544215&partnerID=8YFLogxK

U2 - 10.1155/2014/301891

DO - 10.1155/2014/301891

M3 - Article

C2 - 25431783

AN - SCOPUS:84912544215

VL - 2014

JO - The Scientific World Journal

JF - The Scientific World Journal

SN - 1537-744X

M1 - 301891

ER -