Conventional Versus Laparoscopic Surgery for Hepatic Hydatidosis: a 6-Year Single-Center Experience

Tuxun, Tuerhongjiang; Aji, Tuerganaili; Tai, Qin-wen; Zhang, Jinhui; Zhao, Jinming; Cao, Jun; Li, Tao; Shao, Yingmei; Abudurexiti, Mierxiati; Ma, Hai‐Zhang; Wen, Hao

doi:10.1007/s11605-014-2494-4

Cited by 22 publications

(24 citation statements)

References 22 publications

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“…[ 15 ] The reported recurrence rate of liver hydatid cyst for open surgery varies from 0% to 30%, and recurrence rate for laparoscopic surgery varies from 0% to 9%. [ 16 17 ] In our study, no recurrence or missed cyst was noted during the follow-up period due to the attention to the technical details and the use of technical devices such as perforator grinder aspirator, laparoscopic ultrasound and video choledochoscope.…”

Section: Discussionmentioning

confidence: 67%

Comparison of mid-term clinical outcomes of laparoscopic partial cystectomy versus conventional partial cystectomy for the treatment of hepatic hydatid cyst

et al. 2017

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Background:The aim of this study was to compare the mid-term outcomes of open and laparoscopic partial cystectomy (LPC).Methods:The medical records of patients who underwent conventional partial cystectomy (CPC) and LPC for liver hydatid cyst from May 2010 to February 2015 were retrospectively reviewed. Operative time, blood loss, length of hospital stay, post-operative morbidity, mortality and mid-term follow-up outcomes were evaluated.Results:Amongst 130 patients, 38 patients were underwent LPC and 92 underwent CPC. Blood loss and post-operative complications were similar in both groups. The mean operative time in the LPC and the CPC groups was, respectively, 95.4 ± 13.1 and 63.5 ± 15.6 min, which showed a significant difference between the both groups. The mean length of hospital stay in CPC group was significantly longer when compared the LPC group. The mean diameter of cyst in LPC group was 6.1 ± 1.1 cm and 7.8 ± 2.1 cm in CPC group with a significant difference. The overall complication rates were 13.1% in LPC group and 17.3% in CPC group without significant difference. The most common complication was biliary leakage and surgical site infection.Conclusion:LPC for the surgical treatment of liver hydatid cyst appears to be safe and effective method with low morbidity rates in selected patients.

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Section: Discussionmentioning

confidence: 67%

Comparison of mid-term clinical outcomes of laparoscopic partial cystectomy versus conventional partial cystectomy for the treatment of hepatic hydatid cyst

et al. 2017

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“…Treatment options include medical therapy, percutaneous interventions, and surgery. Among all treatment modalities, surgery remains the mainstay of the treatment especially in CE2-CE3b cysts [9, 10].…”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopic surgery for the hydatid disease obtains the advantages of minimal invasiveness such as lesser incisional complications, faster surgery, shortened hospital stay, and good cosmetic results [9, 11, 13–15]. On the other side, risk of intraoperative spillage, requirement of learning curve, and risk of intraoperative bleeding have been claimed to be disadvantages of laparoscopic approach to liver hydatidosis [1, 10, 16, 17].…”

Section: Discussionmentioning

confidence: 99%

“…Treatment options are medical therapy, percutaneous interventions, and surgery. Surgery remains the gold standard in the treatment of hydatid cyst especially in CE2-CE3b cysts [9, 10]. Surgical operations may vary from radical procedures such as total pericystectomy and hepatectomy to more conservative procedures such as cystotomy plus drainage and partial cystectomy with or without omentopexy.…”

Section: Introductionmentioning

confidence: 99%

“…Laparoscopic treatment of hepatic hydatidosis was first reported in 1992 and became popular in recent years [12]. Minimal invasive approach has advantages of reduced incisional complications, faster surgery, shorter hospital stay, less postoperative pain, and good cosmetic results [9, 11, 13–15]. However, it is not free from several disadvantages including potential risk of spillage, required learning curve, potential bleeding risk, and longer operation times [10, 16, 17].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Laparoscopic and Conventional Cystotomy/Partial Cystectomy in Treatment of Liver Hydatidosis

Bektaşoğlu

Hasbahçeci

Taşçı

et al. 2019

BioMed Research International

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Introduction. Hydatidosis is a zoonotic infection and treatment is mandatory to avoid complications. Surgery remains the first choice in the treatment especially for CE2-CE3b cysts. Open or laparoscopic approaches are available. However, comparative studies are limited. Materials and Methods. Data of patients who underwent cystotomy/partial cystectomy for liver hydatidosis between January 2012 and September 2016 (n=77) were evaluated retrospectively. Recurrent cases and the patients with previous hepatobiliary surgery were excluded. 23 patients were operated upon laparoscopically and named as Group 1. 48 patients operated conventionally named as Group 2. Demographics, cyst characteristics, operative time, length of hospital stay, recurrences, and surgery related complications were evaluated. Results. Groups were similar in terms of demographics, cyst characteristics, and operative time. The length of hospital stay was 3.4 days in Group 1 and 4.7 days in Group 2 (p=0,007). The mean follow-up period was 17.8 months and 21.7 months, respectively (p=0.170). Overall complication rates were similar in two groups (p=0.764). Three conversion cases occurred (13%). One mortality was seen in Group 2. Four recurrences occurred in each group (17% versus 8.3%, respectively) (p=0.258). Conclusions. Laparoscopy is a safe and feasible approach for surgical treatment of liver hydatidosis. Recurrence may be prevented by selection of appropriate cases in which exposure of cysts does not pose an intraoperative difficulty.

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Treatment of uncomplicated hepatic cystic echinococcosis (hydatid disease)

Kuehn,

Uchiumi,

Tamarozzi

2024

Cochrane Database of Systematic Reviews

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Conventional Versus Laparoscopic Surgery for Hepatic Hydatidosis: a 6-Year Single-Center Experience

Abstract: Laparoscopic treatment of liver hydatid disease is safe and effective in selected patients with all its advantages.

Cited by 22 publications

References 22 publications

Comparison of mid-term clinical outcomes of laparoscopic partial cystectomy versus conventional partial cystectomy for the treatment of hepatic hydatid cyst

Comparison of mid-term clinical outcomes of laparoscopic partial cystectomy versus conventional partial cystectomy for the treatment of hepatic hydatid cyst

Comparison of Laparoscopic and Conventional Cystotomy/Partial Cystectomy in Treatment of Liver Hydatidosis

Treatment of uncomplicated hepatic cystic echinococcosis (hydatid disease)

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