Comparative study of laparoscopic and open surgery in management of 50 cases of liver hydatid cyst

Gohil, Vikram B.; Thakur, Swarnim U.; Mehta, Smit; Dekhaiya, Firdaus A

doi:10.18203/2349-2902.isj20201170

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…The mean time durations of our study were very much comparable with study of Zaharie et al, 6 2013 where mean time duration of surgery in open method was 65 min, and in laparoscopy method, it was 72 min. Furthermore, in a study done by Gohil et al, 7 2020, they reported that those patients who had laparoscopic surgery had 76 min mean time duration.…”

Section: Discussionmentioning

confidence: 98%

Comparative study of laparoscopic versus open surgery in cases of liver hydatid cysts

Padmane Sagar Gajanan,

Ajay Patidar,

Ashish Pratap Singh

et al. 2023

Asian J Med Sci

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Background: Hydatidosis is a zoonotic infection, and treatment is mandatory to avoid complications. The infection can be asymptomatic or severe, causing extensive organ damage and even death of the patient. Aims and Objectives: The main aim of this study is to find out the merits and demerits of laparoscopy over that of open surgery in the treatment of hydatid cysts of liver. Materials and Methods: This prospective observational study was done on 50 patients who had liver hydatid disease admitted in the Department of Surgery, Shyam Shah Medical College Rewa (M.P.). Patients were divided into two groups consisting of 25 cases in each. Group A: managed by laparoscopic surgery and Group B: managed by open surgery. Results: The mean operative time in Group A was 99.6 min, while in Group B, it was 140.4 min. Group A patients were mobilized early and resumed duty very fast then Group B. The mean duration of stay in hospital was 8.64 days (range: 4–20 days) in Group A and 11.84 days (range: 4–12 days) in Group B. Wound infection seen in 9 patients in Group B and 0% in Group A. General complication rate was 32% in Group B and 8% in Group A. No recurrence noticed in either group during follow-up. Conclusion: Overall laparoscopic management of liver hydatid cyst is cost-effective in terms of early mobilization, early discharge, and early resumption of work along with cosmetic benefit.

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Section: Discussionmentioning

confidence: 98%

Comparative study of laparoscopic versus open surgery in cases of liver hydatid cysts

Padmane Sagar Gajanan,

Ajay Patidar,

Ashish Pratap Singh

et al. 2023

Asian J Med Sci

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The Evaluation of Treatment Efficacy of The Laparoscopic Interventions for Hepatic Cystic Echinococcosis

Mian

Brohi

Nauman

et al. 2022

PBMJ

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For the treatment of the Cystic Echinococcosis (CE) different surgical and non-surgical approaches are present. Laparoscopy has replaced the conventional open surgeries that were highly used in the past. This chronic liver infection is caused by the cestode. This disease is increasing the mortality and morbidity cases. Objective: To evaluate the treatment efficacy and complications in patients experienced during the postoperative period. The recurrence rate of the laparoscopic treatment was also calculated. Methods: A total of 24 patients visited the Islam Medical College Sialkot from June 2019 to March 2021 were included in the study. The patients were pre-treated with the albendazole (10mg/kg) for almost one week. Then the Palanivelu hydrated system was used for the laparoscopic partial peri cystectomy. Postoperative complication was classified on the basis of the Clavien-Dindo classification system. Results: The calculated mean age of the 24 patients that participated in the study was 34 ± 15.6 years. The included patient’s age was between 17-76 years. Out of 24, 17 were males and other 7 were females. The 21 patients belonged to the hilly areas. The 19 patients reported the complaint of abdomen pain. While cyst at the right side of the liver was observed in the 90% cases. Abdominal pain and cyst formation were the most common symptoms and pathology reported in the patients. The 10.4±3.1 was the calculated mean size of the cyst. The calculated mean operative time was 80.8±19.8 (60-20) minutes. According to WHO grading of cyst the 4 patients were included in the group with unilocular cyst, while the 7 patients were included in the CE1 hydatid group. Conclusions: The study proved that the laparoscopic treatment is an effective treatment for the hepatic CE. This treatment has reduced the risks of recurrences, mortality and conversion in the treated patients.

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Comparative study of laparoscopic and open surgery in management of 50 cases of liver hydatid cyst

Cited by 2 publications

References 4 publications

Comparative study of laparoscopic versus open surgery in cases of liver hydatid cysts

Comparative study of laparoscopic versus open surgery in cases of liver hydatid cysts

The Evaluation of Treatment Efficacy of The Laparoscopic Interventions for Hepatic Cystic Echinococcosis

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