Hepatic hydatid cysts (HHCs) are a parasitic infestation caused by several species of Echinococcus, even though surgery is the mainstay in the management of hydatid disease of the liver, controversies still exist about the preferred operating technique.
Aim of study: To assess the effectiveness of different surgical procedures for managing the hepatic hydatid cyst at Baghdad Teaching Hospital and study the incidence of post-operative complications.
Patients and Method: Sixty-four patients aged between12 and 60 years underwent surgery for HHCs within a one-year period from the first of January 2018 to end of December 2018.
We recorded demographic data, location of the cysts in liver, surgical procedures used, postoperative complication, morbidity, mortality and hospital stay.
Results: Most of the patients were females 48(75%) from rural area and the mean age was 40 years, the most common symptom was abdominal pain in 51 patients (79.6%) and the right lobe of the liver was mostly affected 39(60.9%).
The External drainage technique was used in 28 patients (43.3%). Omentoplasy technique was used in 19 patients (29.6%)
Conclusion: The morbidity and hospital stay were highest in external drainage method and least in omentoplasty. The method of omentoplasty is simple and can be performed in the majority of patients.