Comparison of the frequency of complications resulting from open and laparoscopic surgery for hydatid cyst.

Autor: Shabani M; Physiology Research Center, Kashan University of Medical Sciences, Kashan, Iran.; Department of Anesthesiology, School of Allied Medical Sciences Kashan University of Medical Sciences, Kashan, Iran., Behnam F; Student Research Committee, Kashan University of Medical Sciences, Kashan, Iran., Akbari H; Department of Epidemiology and Biostatistics, School of Health Kashan University of Medical Sciences, Kashan, Iran., Eidy M; Laparoscopic Surgery Fellowship and General Surgery Specialty Department, Kashan University of Medical Sciences, Kashan, Iran.
Jazyk: angličtina
Zdroj: Asian journal of endoscopic surgery [Asian J Endosc Surg] 2025 Jan-Dec; Vol. 18 (1), pp. e13391.
DOI: 10.1111/ases.13391
Abstrakt: Background and Objective: Hydatid cyst is a benign parasitic disease that is usually asymptomatic and is discovered incidentally. The gold standard for the treatment of this disease is surgery. Recently, a laparoscopic approach has been used to remove hydatid cysts. We decided to compare this new technique with an open conventional method.
Materials and Methods: Patients-This retrospective analytical study was conducted on patients with hepatic hydatid cysts who underwent surgery in Kashan during 2013-2020. A total of 58 patients were included in this study, 18 of whom underwent laparoscopic surgery and 40 underwent open surgery. The comparison of the two groups was performed using chi-square and Fisher's exact tests.
Results: The average duration of surgery in the laparoscopic and open surgery groups was 135 and 151.6 min, respectively, which was not statistically significant (p-value = .179). There was no significant difference in terms of the need for blood transfusion, conversion of laparoscopic surgery to open surgery, anaphylactic shock, infection, and death between the two groups (p > .05). However, the laparoscopic surgery group had a significantly shorter hospital stay compared with the open surgery group (p-value < .001), and more favorite patients.
Conclusion: Considering the lack of significant difference between the two surgical methods and the reduction in the duration of surgery by a laparoscopic approach, the reduction in hospital stay of patients, and consequently the reduction in the cost of patients, it is expected that this method is a more suitable method compared with open surgery.
(© 2024 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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