Laparoscopic Treatment in Children with Hydatid Cyst of the Liver

Laparoscopic Treatment in Children with Hydatid Cyst of the Liver

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...

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Published in:World journal of surgery Vol. 41; no. 12; pp. 3218 - 3223
Main Authors: Minaev, Sergey V., Gerasimenko, Igor N., Kirgizov, Igor V., Shamsiev, Azamat M., Bykov, Nikolay I., Shamsiev, Jamshid A., Mashchenko, Alina N.
Format: Journal Article
Language:English
Published: Cham Springer International Publishing 01-12-2017
Springer Nature B.V
Subjects:
Abdominal Surgery
Biliary Fistula - etiology
Cardiac Surgery
Child
Children
Complications
Cysts
Echinococcosis, Hepatic - surgery
Female
Fistulae
General Surgery
Girls
Hepatectomy - adverse effects
Hepatectomy - methods
Humans
Laparoscopy
Laparoscopy - adverse effects
Laparoscopy - methods
Length of Stay
Liver
Male
Medicine
Medicine & Public Health
Operative Time
Original Scientific Report
Patients
Postoperative Complications - etiology
Postoperative Period
Surgery
Thoracic Surgery
Treatment Outcome
Vascular Surgery
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Summary: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.
Bibliography:This paper was presented in parts at the joint 17th European Congress of European Paediatric Surgeons’ Association (EUPSA) in Milan (Italia), June 15th–18th, 2016.
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ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-017-4129-x