Evaluation and Comparison of the Early Outcomes of Open and Laparoscopic Surgery of Liver Hydatid Cyst

Nooghabi, Azadeh Jabbari; Bahar, Mostafa Mehrabi; Asmar, M; Nooghabi, Mehdi Jabbari; Jangjoo, Ali

doi:10.1097/sle.0000000000000199

Cited by 21 publications

(12 citation statements)

References 20 publications

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“…In a comparative study, 73 patients with uncomplicated LH were assigned to either group of laparoscopic or open surgery, and were followed for approximately 18 months. Biliary fistula, cyst cavity infection and wound infection were not different between the two groups (evidence type 2b) . Finally, one systematic review of nonrandomized studies regarding the treatment of complicated LH is worthy of note.…”

Section: Resultsmentioning

confidence: 99%

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Surgical strategies in the treatment of liver hydatid cyst

Manterola

Otzen

2017

Surgical Practice

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Aim Hydatidosis is an endemic zoonosis that is prevalent in South America, specifically in Chile, Argentina and Uruguay. Liver hydatidosis (LH) is associated with morbidity and mortality due to evolutionary complications, as well as the risk of complications related to surgical procedures. The surgical treatment of LH can be divided into four phases: isolation of the surgical area, evacuation of the cyst, treatment of the complications of the cyst and treatment of the residual cavity. LH surgical procedures can be classified as conservative and radical. The aim of the present study was to present a general, evidence‐based overview of some surgical aspects of interest in the treatment of LH. Patients and Methods An overview was conducted. Articles published between 1990 and 2015 and related to results of surgery in patients with LH were evaluated. PubMed, Web of Science, SciELO and Trip Database were reviewed, and the results of surgery in LH patients were evaluated. Results A total of 301 articles were retrieved, 46 of which met the selection criteria (3 systematic reviews, 2 controlled trials, 5 cohorts studies, 12 observational studies and 24 case series). The studies had a level of evidence of 1b, 2a, 2b, 3a and 4 of prognostic and therapy scenarios. Conclusions The articles found were few and heterogeneous, making meaningful conclusions difficult. Studies with better levels of evidence, methodological quality and population size are needed to make conclusions and recommendations.

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Section: Resultsmentioning

confidence: 99%

“…A total of 301 records were recovered, 47 of which fulfilled the selection criteria: three SR, three CT, five cohorts studies, 24 case series and 12 not classifiable OS . The studies had a level of evidence of 1b, 2a, 2b, 3a and 4 of prognostic and therapy scenarios.…”

Section: Resultsmentioning

confidence: 99%

Surgical strategies in the treatment of liver hydatid cyst

Manterola

Otzen

2017

Surgical Practice

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“…Some studies have reported that the recurrence rate of hepatic hydatid after primary surgery is 6% to 30%, and there is no significant difference in postoperative complications between laparoscopic surgery and open surgery [ 15 ]. However, open surgery is still the main surgical treatment at present, and more and more studies hope to achieve therapeutic purposes with more minimally invasive methods, such as perforator-grinder-aspirator-apparatus (PGAA) and nanosecond pulsed electric field (nsPEF).…”

Section: Discussionmentioning

confidence: 99%

Hepatic Hydatid Cyst Misdiagnosed as Simple Cyst: A Case Report

et al. 2020

Am J Case Rep

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“…However, published literature has shown comparable recurrence rates. [ 5 6 7 8 14 15 16 ] Laparoscopic surgery should be tailored to prevent any spillage. Palanivelu et al .…”

Section: Discussionmentioning

confidence: 99%

Liver hydatid cyst with cystobiliary communication: Laparoscopic surgery remains an effective option

et al. 2018

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Introduction:Most centres offer laparoscopic treatment for liver hydatid cyst (LHC). There have been concerns about the management of intra-peritoneal spillage, bleeding, and cystobiliary communication (CBC) during laparoscopic surgery for LHC. CBC can exist in 13%–37% of cases of LHC. No randomised studies have compared open versus laparoscopic approach for the treatment of LHC. We specifically analysed the outcomes of laparoscopic treatment of LHC with special reference to associated biliary complications.Patients and Methods:We analysed our prospectively collected data of patients undergoing laparoscopic treatment of LHC from 2009 to 2016. Patients undergoing open surgery or interventional radiology procedures were not included. Data analysed included demographic profile, investigational parameters, intra-operative findings and postoperative results with special reference to biliary complications and presence/management of CBC.Results:A total of 41 patients underwent laparoscopic treatment of LHC. History of jaundice was present in 5 (12.2%) patients. CBC was documented in 16 (39.02%) patients. In 11 patients, CBC was detected intra-operatively as visible communication, which was suture ligated or clipped. Five patients had occult CBC, detected as bile leak in the post-operative period. The leak resolved spontaneously in 7 patients and with biliary stenting in 2 patients. Only one patient had a persistent biliary leak. Postoperative bile leak was more common in patients with raised alkaline phosphatase. No statistically significant association was seen with size or location of the cyst, number of cysts and World Health Organisation classification.Conclusion:Laparoscopic treatment of LHC with associated CBC provides acceptable results.

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Evaluation and Comparison of the Early Outcomes of Open and Laparoscopic Surgery of Liver Hydatid Cyst

Abstract: Laparoscopic surgery seems to be effective and safe, with low morbidity rates for uncomplicated cysts in accessible segments of the liver.

Cited by 21 publications

References 20 publications

Surgical strategies in the treatment of liver hydatid cyst

Surgical strategies in the treatment of liver hydatid cyst

Hepatic Hydatid Cyst Misdiagnosed as Simple Cyst: A Case Report

Liver hydatid cyst with cystobiliary communication: Laparoscopic surgery remains an effective option

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