چکیده (انگلیسی):

Objective: There is controversy concerning the management of the remaining cavity
after the evacuation of a cyst in patients who have undergone surgical operation for liver
hydatidosis. This study compares the results of capitonnage and tube drainage of the remaining
cavity.
Methods: In this retrospective study, participants were selected from two groups of patients
with a liver hydatid cyst who underwent capitonnage or tube drainage from 2004 to 2012.
The patients were followed for 6e24 months. The data of age, sex, involved liver lobe, size
of the cyst, complications, drain duration, and hospital stay were analyzed.
Results: Participants included 155 patients consisting of 96 (61.94%) females and 59 (38.06%)
males. Most cysts were in the right lobe, and the most common diameter of the cysts was greater
than 10 cm. Capitonnage was performed on 90 (58.06%) patients and the tube drainage procedure
was performed on the remaining 65 (41.94%) patients. In the tube drainage group and the capitonnage
group, the operative times were 2.21
0.65 hours and 2.53
0.35 hours, respectively;
the hospital stays were 5.695
3.37 days and 4.43
2.96 days, respectively; the drain duration
was 9.2
1.7 days and 2.1
0.4 days, respectively; and the time to return to work was 14.7
2.3
days and 8.3
10.4 days, respectively. All variables were statistically significant, except for the
operative time. Cavity infection and biliary fistula were identified in three patients and six patients,
respectively, in the tube drainage group and identified in two patients and three patients,
respectively, in the capitonnage group. This difference was not statistically significant.
Conclusion: This study demonstrated that capitonnage versus the tube drainage method may
result in a shorter hospital stay, decreased time to return to work, and low rate of morbidity
and complications.