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1. Comparison of the modified Seldinger and trocar techniques in the percutaneous treatment of CE1 and CE3a hepatic hydatid cysts
Yıl: 2020 Cilt: 45 Sayı: 2 Sayfa Aralığı: 588 - 594
Veri Tabanı: Fen

Purpose: The aim of this study was to compare the longterm results of the trocar and modified Seldinger techniques used in the percutaneous treatment of type CE1 and CE3a hepatic hydatid cysts. Materials and Methods: The data of the patients with CE1 and CE3a hydatid cysts, treated by the catheterization technique between January 2015 and June 2019 were reviewed retrospectively. Cyst type, cyst size and localization, treatment method applied, duration of catheterization and length of hospital stay were recorded. Follow-up period, cyst size at the last follow-up, and inactivation time were listed using the follow-up ultrasound reports. All of these variables were listed separately in the modified Seldinger and trocar techniques and compared statistically. Results: The data of 126 CE1 and CE3a patients were included in the study. The modified Seldinger technique was used in 36 patients, and the trocar technique was used in 90 patients. The mean follow-up period was 1185.36 ± 426.02 days. The efficacy of the treatment was at the rate of 97.2% in the modified Seldinger technique and 97.7% in the trocar technique. In total, recurrence was seen in 2.3% of the patients. The duration of catheterization and length of hospital stay were found to be significantly lower in the trocar technique compared to the modified Seldinger technique. The inactivation process was faster in the modified Seldinger technique. Conclusion: Both the modified Seldinger and trocar techniques are effective treatment modalities that can be used safely in the treatment of CE1 and CE3a hepatic hydatid cysts.

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