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World Journal of Surgery

, Volume 41, Issue 12, pp 3218–3223 | Cite as

Laparoscopic Treatment in Children with Hydatid Cyst of the Liver

  • Sergey V. MinaevEmail author
  • Igor N. Gerasimenko
  • Igor V. Kirgizov
  • Azamat M. Shamsiev
  • Nikolay I. Bykov
  • Jamshid A. Shamsiev
  • Alina N. Mashchenko
Original Scientific Report

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.

Notes

Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflict of interest.

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Copyright information

© Société Internationale de Chirurgie 2017

Authors and Affiliations

  • Sergey V. Minaev
    • 1
    Email author
  • Igor N. Gerasimenko
    • 1
  • Igor V. Kirgizov
    • 2
  • Azamat M. Shamsiev
    • 3
  • Nikolay I. Bykov
    • 1
  • Jamshid A. Shamsiev
    • 3
  • Alina N. Mashchenko
    • 1
  1. 1.Department of Pediatric SurgeryStavropol State Medical UniversityStavropolRussian Federation
  2. 2.Department of Pediatric SurgeryCentral Clinical Hospital of the Presidential Administration of the Russian FederationMoscowRussian Federation
  3. 3.Department of Pediatric SurgerySamarkand Medical InstituteSamarkandUzbekistan

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