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01-12-2017 | Original Scientific Report

Laparoscopic Treatment in Children with Hydatid Cyst of the Liver

Authors: Sergey V. Minaev, Igor N. Gerasimenko, Igor V. Kirgizov, Azamat M. Shamsiev, Nikolay I. Bykov, Jamshid A. Shamsiev, Alina N. Mashchenko

Published in: World Journal of Surgery | Issue 12/2017

Abstract

Background

There is no consensus on the surgical treatment of children with hydatid cyst of the liver (HCL). We evaluated the outcomes of laparoscopic and open surgery for childhood HCL.

Methods

We performed 81 open surgery and laparoscopic procedures in 37 (45.7%) boys and 44 (54.3%) girls with HCL (mean age 9.3 ± 2.1 years) who were assigned to a main group (laparoscopy, n = 21) and a control group (open surgery, n = 60). Clinical assessments, surgical durations, complications, and postoperative outcomes were investigated. Cyst types in the two groups were I (Gharbi)/CE 1 (WHO-IWGE), 71.4 and 58.3%, respectively; II/CE 2, 19.1 and 25.0%, respectively; and III/CE 3, 9.5 and 16.7%, respectively. The parasitic hydatid cysts were located mostly in the right liver lobe in both the main and control groups (90.4 and 80.0%, respectively).

Results

Hospital stays were significantly (p < 0.05) longer in patients in the control group (12.1 ± 1.5 vs. 5.6 ± 2.2 days). Operation time was significantly (p < 0.01) shorter for the main group (90.1 ± 7.8 vs. 120.6 ± 5.3 min). Local complications (residual cavity infection, biliary fistula) occurred in 21.6% of patients in the control group and 14.3% in the main group. Each was treated, and none recurred. There were no apparent systemic complications.

Conclusions

Laparoscopic surgical treatment for children with HCL is safe in compliance with all classic open surgery principles. The laparoscopic technique offered a shorter duration of the surgical effects and markedly fewer postoperative complications.

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Title: Laparoscopic Treatment in Children with Hydatid Cyst of the Liver
Authors: Sergey V. Minaev
Igor N. Gerasimenko
Igor V. Kirgizov
Azamat M. Shamsiev
Nikolay I. Bykov
Jamshid A. Shamsiev
Alina N. Mashchenko
Publication date: 01-12-2017
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 12/2017
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-017-4129-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic Treatment in Children with Hydatid Cyst of the Liver

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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