Comparative study of laparoscopic versus open surgery in 42 cases of liver hydatid cyst

Background: Hydatid disease is endemic mainly in the Mediterranean countries, the Midd South America, India, Northern C affection (55-70 %) followed by lung (1 hydatid disease has been increasingly popular and has undergone a revolution parallel to the progress in laparoscopic surgery. This study presented cyst comparing laparoscopic approach and open approach for surgery during a period of one and a half years at our institute. Objectives: The main objective of the present study was to laparoscopy over that of open surg Material and methods: This study comprised treated during the period of January 2013 to June 2014 at our Hospitals. They were treated either by laparoscopic approach or by open method for liver hydatid cyst. criteria were excluded from study. Predefined proforma was filled up and results were analyzed. Results: Conversion to open surgery occurred in two cases (4.84 %). The mean cyst diameter was 6.62 cm (range, 2–15 cm) in group 1 and 7.23 cm (range, 2 operative time was 90 min (range, 70 2 (p\0.001). The general complication rate and abdominal wound complication rate were respectively 0 % and 0 % in group 1 ( 0.015). The mean hospital stay was 6.42 days (range, 1 80 days) in group 2 (p = 0.001). The mean follow group 1 and 28.4 months (range, 6 group during this period. 2, Issue 1, January, 2015. 1 , A.B. Amin 2 , C. Doshi N.H.L Medical College, Ahmedabad Ahmedabad B J Medical College, Ahmedabad thor email: [email protected] . Comparative study of laparoscopic . IAIM, 2015; 2(1): 30-35. www.iaimjournal.com Accepted on: hina and other sheep rearing areas. Liver is the commonest site of 8-35 %). In the last decade, laparoscopic treatment of hepatic our experience with 42 cases of liver hydatid study retrospectively, the ery in treatment of hydatid cyst of liver. of 42 patients who diagnosed to have liver hydatid cyst Patients not fitting in –18 cm) in group 2 (p = 0.699). The mean –110 min) in group 1 and 110 min (range, 90 p = 0.023) compared with 5.23 and 8.72 % in group 2 (p = –21 days) in group 1 and 11.7 days ( -up period was 24.2 months (range, 6 –40 months) in group 2. No recurrences were observed in either ISSN: 2394-0026 (P) ISSN: 2394-0034 (O) Page 30 3* , India , India , India