Related factor of postoperative complications of hepatic cystic echinococcosis in children

Objective To summarize the clinical features of hepatic cystic echinococcosis (HCE) in children and analyze the relevant factors of postoperative complications. Methods A total of 191 HCE children undergoing surgical treatment between January 2002 to January 2015 were retrospectively evaluated. Data collection included symptoms, characteristics of cyst (location, size, quantity), surgical options, hospitalization duration and postoperation complications. And univariate and multivariate analyses were performed among P<0.1 variables for determining the independent risk factors for postoperative complications for HCE. Results A total of 152 cases underwent partial cystectomy plus external drainage and subtotal pericystectomy while another 39 cases had radical operations of pericystectomy and segmentectomy. Postoperative complications of abdominal pain, cystobiliary communication and ruptured cyst occurred in 26 cases (P<0.05). Conclusions Abdominal pain, cystobiliary communication and ruptured cyst are independent risk factors for postoperative complications.