A Laparoscopic Versus Open Approach for Hepatic Hydatid Cyst Removal

Abstract

For context, hydatid cysts in the liver are still mostly treated with surgery. Laparoscopy is a less intrusive alternative to traditional open surgery that yields the same or similar outcomes. Laparoscopic treatment of hepatic hydatid disease in children: a feasibility and safety evaluation were the goal of this investigation. Subjects and Procedures: This research followed participants over the course of five years in a prospective randomized fashion. The results of laparoscopic treatment for children with Gharbi Type I, II, III cysts, 3 cysts, and superficially accessible cysts were compared with those of matched controls who had open approach treatment. The trial involved fifty patients, with twenty-five individuals assigned to each of the two matched groups. The laparoscopic surgery was performed on twenty-five individuals (10 males and 15 females) who had 35 liver hydatid cysts. The average size of the cyst was 8.8 (± 2.39 cm). The conversion to open was necessary for two patients. None of the patients had a notable leakage of cyst contents. The outcomes of the laparoscopic group were superior to those of the open group in terms of length of hospital stay, time to drain removal, duration of parenteral analgesia, postoperative pain intensity, time to ambulation, and return to full orals. Both groups had comparable rates of complications. In conclusion, laparoscopic therapy of hydatid cysts of the liver in children is a safe and practical approach with minimal complications, conversion rates, and morbidity when the patients are carefully selected.