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Review article
Surgery for Hepatic Hidatidosis. Risk Factors and Variables Associated with Postoperative Morbidity. Overview of the Existing Evidence
Cirugía de la hidatidosis hepática. Factores de riesgo y variables asociadas al desarrollo de morbilidad postoperatoria. Revisión global de la evidencia existente
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Carlos Manterolaa,b,
Corresponding author
carlos.manterola@ufrontera.cl

Corresponding author.
, Tamara Otzenc,d, Gloria Muñozc,e, Martín Alanisa, Eileen Kruusea, Gustavo Figueroaa
a Departamento de Cirugía, Universidad de La Frontera, Temuco, Chile
b Centro de Excelencia en estudios Morfológicos y Quirúrgicos (CEMyQ), Universidad de La Frontera, Temuco, Chile
c Programa de Doctorado en Ciencias Médicas, Universidad de La Frontera, Temuco, Chile
d Facultad de Ciencias de la Salud, Universidad de Tarapacá, Arica, Chile
e Universidad Santo Tomás, Temuco, Chile
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Received 06 June 2017. Accepted 19 August 2017
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Table 1. Proposed Classification of the Levels of Evidence of the CEBM 2009.
Table 2. Search Strategies and Results Obtained for Each Source of Information Used.
Table 3. Summary of the Evidence Found.
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Abstract

There are few publications related to postoperative morbidity in hepatic hydatidosis and these have mixed results. The aim of this study was to determine risk and protective factors of postoperative morbidity in patients operated on for hepatic hydatidosis.

A comprehensive review was made of the evidence, based on systematic reviews, clinical analyses and observational studies, obtained from the Trip Database, BVS, SciELO, Cochrane Central Register of Controlled Trials, WoS, MEDLINE, EMBASE, SCOPUS, EBSCOhost, IBECS, ePORTUGUESe, LILACS and WHOLIS.

1087 related articles were identified; 69 fulfilled the selection criteria (2 systematic reviews, 3 clinical trials and 64 observational studies). Age, history of previous surgery for hepatic hydatidosis, location in the hepatic center, existence of biliary communications and evolutionary complications of the cyst were identified as risk factors, and radical surgical techniques as protective factors.

Risk and protective factors were identified; however, the studies are few and the quality moderate to low.

Keywords:
Echinococcosis
Hepatic hydatid cyst
Echinococcosis, hepatic/surgery
Postoperative complications
Prognosis
Resumen

Las publicaciones relacionadas con morbilidad postoperatoria en hidatidosis hepática son escasas y de resultados disímiles. El objetivo de este estudio fue determinar factores de riesgo y protectores de morbilidad postoperatoria en pacientes intervenidos por hidatidosis hepática.

Se realizó una revisión global de la evidencia, basada en revisiones sistemáticas, ensayos clínicos y estudios observacionales, obtenidos de Trip Database, BVS, SciELO, Cochrane Central Register of Controlled Trials, WoS, MEDLINE, EMBASE, SCOPUS, EBSCOhost, IBECS, ePORTUGUESe, LILACS y WHOLIS.

Se identificaron 1.087 artículos relacionados y 69 cumplían criterios de selección (2 revisiones sistemáticas, 3 ensayos clínicos y 64 estudios observacionales). Se identificaron como factores de riesgo la edad, el antecedente de cirugía previa por hidatidosis hepática, la localización centro hepática, la existencia de comunicaciones biliares y complicaciones evolutivas del quiste y como protectores las técnicas quirúrgicas radicales.

Se identificaron factores de riesgo y protectores; sin embargo, los estudios son escasos y de calidad moderada a baja.

Palabras clave:
Hidatidosis
Quiste hidatídico hepático
Morbilidad
Complicaciones postoperatorias
Pronóstico

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