Laparoscopic radical and conservative surgery of hydatid liver echinococcosis. PSM based comparative analysis of immediate and long-term outcomes
- Resource Type
- Authors
- Mikhail Efanov; Natalia Elizarova; Yulia Kulezneva; O. V. Melekhina; Victor Tsvirkun; Ruslan Alikhanov
- Source
- Annals of Hepato-Biliary-Pancreatic Surgery. 25:S247-S247
- Subject
- Laparoscopic surgery
medicine.medical_specialty
Laparoscopic cystectomy
business.industry
medicine.medical_treatment
Retrospective cohort study
medicine.disease
Echinococcosis
Surgery
Cystectomy
medicine
Long term outcomes
Severe morbidity
General Materials Science
Radical surgery
business
- Language
- ISSN
- 2508-5859
2508-5778
Introduction The diffusion of laparoscopic radical surgery of hydatid liver echinococcosis remains limited. There no published data on a comparative analysis of the immediate and long-term results of radical and conservative laparoscopic surgery for liver hydatid cysts. Comparison of the immediate and long-term outcomes after laparoscopic radical and conservative cystectomies was aimed. Methods HPB center (center 1) and general surgery hospital in endemic area (center 2) participated in retrospective study. Radical surgery included total, subtotal pericystectomy and liver resection. Conservative surgery comprised cystectomy without/with partial pericystectomy. Results The total number of patients was 204. Laparoscopic cystectomy was performed in 97 (47%) patients. Radical (n-40) and conservative (n-61) laparoscopic procedures were performed in center 1 and center 2, respectively. Twenty-five pairs of patients were matched. The length of hospital stay and time of abdominal drainage were significantly shorter after radical surgery before and after PSM. The rate of severe morbidity did not differ. The mean follow-up length was 34 and 45 months in center 1 and center 2, respectively. No differences were found in the disease recurrence rate. Conclusions Laparoscopic radical surgery leads to a reduction in the treatment time and can be recommended as the preferred treatment option in a specialized HPB center.