Jaundice as Initial Presentation of Liver Hydatidosis (ICTEHIDA)
Jaundice as Initial Presentation of Liver Hydatidosis (ICTEHIDA)
The aim of this study is to evaluate patients with hepatic hydatidosis whose symptom at
 diagnosis was obstructive jaundice. As well as analyzing, the rate of performing preoperative
 ERCP, the results after surgery and morbidity
Retrospective study of patients operated on for liver hydatidosis and whose initial symptom
 was obstructive jaundice Study period: January 2006 to September 2018

 The preoperative diagnosis was based on abdominal ultrasound (US), CT scan or magnetic
 nuclear resonance

 Surgical technique Precautions are taken to avoid the spillage of the parasite in the
 abdominal cavity. The peritoneal cavity is liberally protected with scolicidal agents. All
 patients have intraoperative ultrasound. Ultrasound is performed to locate the presence of
 any cysts which might not be seen by the preoperative imaging. Intraoperative ultrasound is
 also used to find out the relation of the cyst to the big vessels. Depending on the
 intraoperative findings, the location and size of the cyst will be considered the type of
 surgery to be performed. Radical surgery (closed and open total cystopericystectomy, or liver
 resection) or conservative surgery (partial cystopericystectomy, removal of the vesicles with
 external or internal drainage). When the cyst affects a total lobe and / or the main
 pedicles, a hepatectomy is performed.

 The demographic data of the patients will be taken from their clinical histories. It included
 age, sex, medical history of hidatidosis, clinical findings, laboratory data, radiological
 findings, endoscopic treatment, surgical treatment.

 The investigators will analyze postoperative mortality and morbidity. Complications' ranking
 according to the Clavien-Dindo score, 'severe complication' is defined as greater or equal to
 IIIa

 Follow-up The follow-up of these patients will be performed with ultrasound or CT and hydatid
 serology. The minimum follow-up of the patients is six months. Relapse is defined as the
 appearance of new active liver cysts after the patient had undergone surgery.
Inclusion Criteria:

 -  Hepatic Hydatidosis with obstructive jaundice surgically treated

 Exclusion Criteria:

 -  Patients with conservative treatment