AIM: To evaluate the predisposing factors for peritoneal perforation and intrabiliary rupture and the effects of these complications on surgical outcome in liver hydatid disease. METHODS: A total of 372 patients with liver hydatid cysts who had undergone surgical treatment were evaluated retrospectively. Twenty eight patients with peritoneal perforation, 93 patients with spontaneous intrabiliary perforation, and 251 patients with noncomplicated hydatid cysts were treated in our clinics. RESULTS: When the predisposing factors for complications were evaluated, younger age, superficial position, and larger cyst dimensions (P P P = 0.002). When length of hospital stay was compared, there was no significant difference between the groups (P > 0.05). The overall recurrence rate was 3.8% (14 patients), but there was not any statistical difference among the patient groups (P = 0.13). The early postoperative mortality rate was 1.1%. CONCLUSION: In peritoneally perforated and intrabiliary ruptured cases, the most important steps are irrigation of the peritoneal cavity and clearance of the cystic material from the biliary tree.
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机译：目的：评估腹膜穿孔和胆道内破裂的诱发因素，以及这些并发症对肝包虫病手术结局的影响。方法：对372例接受手术治疗的肝包虫囊肿患者进行回顾性评估。我们的诊所治疗了28例腹膜穿孔，93例自发性胆道穿孔和251例单纯性包虫囊肿。结果：评估并发症的诱因时，年龄，浅表位置和较大的囊肿尺寸比较大（P P P = 0.002）。比较住院时间，两组之间无显着差异（P> 0.05）。总体复发率为3.8％（14例患者），但患者组之间无统计学差异（P = 0.13）。术后早期死亡率为1.1％。结论：在腹膜穿孔和胆汁内破裂的病例中，最重要的步骤是冲洗腹膜腔和清除胆管内的囊性物质。
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