Laparoscopic radical and conservative surgery for hydatid liver echinococcosis: PSM based comparative analysis of immediate and long-term outcomes

Ефанов, Михаил; Azizzoda, Z.; Elizarova, N.; Alikhanov, Ruslan; Karimkhon, Kurbonov; Мелехина, О. В.; Kulezneva, Yu. V.; Kazakov, I.; Vankovich, A.; Chitadze, Alena; Salimgereeva, Diana; Tsvirkun, V.

doi:10.1007/s00464-021-08391-4

Cited by 14 publications

(19 citation statements)

References 16 publications

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“…Одна из первых работ, включающая сравнительный анализ, в которой доказано преимущество радикальной лапароскопической операции, опубликована в 2021 г. [15].…”

Section: Discussionunclassified

“…Растущая популярность лапароскопической эхинококкэктомии в неспециализированных отделениях общехирургического профиля основана на лучших результатах в сравнении с аналогичными открытыми операциями, несмотря на их консервативный характер у подавляющего числа пациентов [3,15]. В глобальном систематическом обзоре частота осложнений у 914 пациентов не превышала 15% при объеме консервативных операций 75% [3].…”

Section: Discussionunclassified

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Laparoscopic and open operations in the treatment of hepatic echinococcosis. Analysis of short- and long-term results

et al. 2021

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Aim: to evaluate the short- and long-term outcomes of laparoscopic and open operations in the treatment of hepatic echinococcosis.Materials and methods. The results of laparoscopic and open echinococcectomies performed from 2013 to 2020 were retrospectively studied. Laparoscopic operations were considered the method of choice. Open operations were performed in cases with contraindications to the laparoscopic approach.Results. In total, 57 patients were operated: 47 laparoscopically (including robotic approach in 4 cases), 9 patients underwent open surgery. Radical procedures prevailed among laparoscopic cystectomies: 46 (98%). In the groups of laparoscopic/open cystectomies, partial pericystectomy was performed in 1/3 of patients, subtotal – in 24/4, total – in 13/0, and liver resection – in 9/2 patients, respectively. Laparoscopic procedures were performed mainly for types 1 and 3 of cysts, open procedures – for type 2 (WHO), recurrent and extrahepatic abdominal cysts were indication for open surgery. The frequency of severe complications did not differ between the groups. In the laparoscopic group, 1 (2%) patient died. After laparoscopic cystectomies, the mean (median) hospital stay (8 vs 10 days) and duration of abdominal drainage (10 vs 12 days) were significantly shorter. Relapse occurred only after conservative cystectomies, in one patient in each group.Conclusion. Laparoscopic radical surgery for liver hydatid cysts may be the method of choice if performed in a specialized HPB center. Patient selection criteria should be based on the center's experience in laparoscopic liver surgery.

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Section: Discussionunclassified

Laparoscopic and open operations in the treatment of hepatic echinococcosis. Analysis of short- and long-term results

et al. 2021

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“…So, these special segment CE cysts should not be considered as a contraindication to laparoscopic surgery [14]. It is reported that the proportion of the posterosuperior segments affected can be as high as 60% in patients with hepatic CE treated with laparoscopic radical surgery in some highly specialized hepatobiliary surgery centers [15]. (ii) Prevention of cyst content spillage.…”

Section: Surgical Indications Of Laparoscopic Treatment For Hepatic Cementioning

confidence: 99%

“…We believe that preoperative treatment with albendazole and intraoperative encasement of the cyst with hypertonic saline gauze are effective ways to prevent cyst fluid spillage. Mikhail Efanov et al suggested that, for partial active CE cysts, preoperative use of the percutaneous aspiration-injection-reaspiration (PAIR) technique is also beneficial in preventing spillage of the cyst contents [15]. (iii) Surgeon's skills.…”

Section: Surgical Indications Of Laparoscopic Treatment For Hepatic Cementioning

confidence: 99%

“…In recent years, with the improved understanding of anatomical segmentation and laparoscopic technological advances, an increasing number of patients with hepatic CE were treated by laparoscopic total pericystectomy [33]. A recent multicenter study showed that more than half of patients with hepatic hydatid underwent laparoscopic treatment [15]. Among them, the rate of laparoscopic total pericystectomy was 28% [15].…”

Section: Laparoscopic Total Pericystectomymentioning

confidence: 99%

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Laparoscopic Treatment Strategies for Liver Echinococcosis

Wan¹,

Wang²,

Cheng³

et al. 2022

Infect Dis Ther

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Liver echinococcosis is clinically mainly composed of hepatic cystic echinococcosis (CE) and hepatic alveolar echinococcosis (AE). At present, laparoscopy has been comprehensively applied in the treatment of two types of liver echinococcosis. For hepatic CE treatment, both laparoscopic total pericystectomy and laparoscopic hepatectomy can achieve radical results, but the former is considered the first choice owing to its being more minimally invasive; laparoscopic subtotal pericystectomy and laparoscopic partial pericystectomy can be accepted as complementary options, considering the presence of complicated cysts and the level of laparoscopic technique in remote hospitals; laparoscopic cystectomy is simple, but it is not currently recommended for treatment of hepatic CE owing to poor efficacy and high risk of postoperative complications. For hepatic AE treatment, laparoscopy not only achieves the same radical effect as open surgery in selected patients, but also is more minimally invasive, so it has a better prospect.

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