<p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p> <p>In this report two hundred and twenty six patients with hydatid disease were admitted to the Surgical
Department of Erciyes University (Kayseri) and Şişli Etfal Hospital (Istanbul) between 1978 and 1990
and reviewed retrospectively. One hundred and two patients (45.1%) were male and 124 (54.9%)
female. In the patients with hydatid cysts the most frequent symptom was right upper abdominal pain
(66%). The most frequent signs were hepatomegaly (43.8%) and palpable mass (39%). One hundred
and sixty seven patients (73.9%) were examined with ultrasonography which has a diagnostic value of
94%. Preoperative complications were infection of cyst (7%), intrabiliary rupture (3.5%) and anaphylactic
shock (0.4%). All patients were operated on by using various surgical techniques; omentoplasty
(101), external drainage of residual cavity (64), marsupialization (25), capitonnage (15), introflexion
(10), pericystectomy (6), and hepatic resection (5).</p> <p>The main postoperative complications were wound infection (12%) and biliary fistula (2.6%). The
total mortality rate was 1.8% in this series.</p>
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HPB Surg. 1992; 6(1):57-64