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Objective <p>To explore the independent risk factors for postoperative complications in children undergoing radical surgery for hepatic cystic echinococcosis (HCE), thereby optimizing surgical strategies and perioperative management.</p> Method <p>A retrospective study was conducted on 36 children with HCE admitted to Lhasa People’s Hospital between January 2018 and January 2024. Based on the occurrence of complications, patients were divided into groups. Preoperative clinical and imaging data were analyzed using univariate and multivariate logistic regression to identify independent risk factors, and a predictive nomogram was developed.</p> Result <p>47.2% of the children chose excision of hepatic hydatid internal capsule, and 33.3% chose modified radical resection. Multivariate analysis revealed that cyst area per unit weight was an independent predictor of postoperative complications in children with HCE (<i>p</i> &lt; 0.05). ROC curve analysis indicated that when the cyst area per unit body weight and the number of involved liver segments jointly predicted complications, the AUC was 0.853.</p> Conclusion <p>The established preoperative risk assessment model effectively identifies high-risk pediatric patients, facilitating tailored surgical planning and perioperative interventions. For children with HCE in remote regions, internal capsule excision or modified radical resection remain viable and appropriate surgical treatment options.</p>

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Risk factors and nomogram construction of postoperative complications of hepatic cystic echinococcosis in children and surgical treatment selection

  • 期刊论文

  • 发表日期：

    2026年3月22日

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  • Sherop Yonten,
  • Xinyue Tan,
  • Jiakun Wang,
  • Panden,
  • Tenzin Kinzi,
  • Tsering Lhamo,
  • Sonam Yangzom,
  • Dondan,
  • Sijia Pan,
  • Lan Huang,
  • Wei Zhang,
  • Chaohong Zheng,
  • Junmin Liao,
  • Purpo Tsering,
  • Yong Zhao

摘要

Objective

To explore the independent risk factors for postoperative complications in children undergoing radical surgery for hepatic cystic echinococcosis (HCE), thereby optimizing surgical strategies and perioperative management.

Method

A retrospective study was conducted on 36 children with HCE admitted to Lhasa People’s Hospital between January 2018 and January 2024. Based on the occurrence of complications, patients were divided into groups. Preoperative clinical and imaging data were analyzed using univariate and multivariate logistic regression to identify independent risk factors, and a predictive nomogram was developed.

Result

47.2% of the children chose excision of hepatic hydatid internal capsule, and 33.3% chose modified radical resection. Multivariate analysis revealed that cyst area per unit weight was an independent predictor of postoperative complications in children with HCE (p < 0.05). ROC curve analysis indicated that when the cyst area per unit body weight and the number of involved liver segments jointly predicted complications, the AUC was 0.853.

Conclusion

The established preoperative risk assessment model effectively identifies high-risk pediatric patients, facilitating tailored surgical planning and perioperative interventions. For children with HCE in remote regions, internal capsule excision or modified radical resection remain viable and appropriate surgical treatment options.