Table 2.
Literature studies involving laparoscopy approach in liver hydatid cyst
Ref. | Year | Study design | Size | Surgical modality | Conversion1 | Complication rate2 | Recurrence rate | Follow-up (mo) |
Emel´ianov et al[56] | 2000 | Prospective | 37 | Partial cystectomy | 3% | 10% | - | |
Non-comparative | ||||||||
Khuory et al[57] | 2000 | Prospective | 108 | Marsupialization3 | 11% | 3% | 3.6% | 4-54 |
Non-comparative | ||||||||
Bickel et al[58] | 2001 | Prospective | 31 | Puncture + parasite neutralization + evacuation | 3% | 16% | 0% | 9-97 |
Non-comparative | ||||||||
Polat[59] | 2012 | Retrospective | Open n = 12 | Cystectomy | 13% | 0% | 24 | |
Comparative | Lap4 n = 7 | 0% | 14% | 0% | ||||
Zaharie et al[60] | 2013 | Retrospective | Open n = 271 | Partial cystectomy | 14% | 0% | 6-40 | |
Comparative | Lap4 n = 62 | 4.85% | 0% | 0% | 6-32 |
The main reasons for conversion to open surgery were bleeding and difficult location of the cyst;
Wound infection, cyst rupture, anaphylactic reaction, hemorrhage, atelectasis, pneumonia and hernia. One patient died 1 mo postoperatively of candida sepsis in the Bickel et al[58] study and 1.16 % (2 patients) for open surgical procedure in the Zaharie et al[60] study. No postoperative mortality was observed in the others studies;
Conversion the closed cavity of the cyst into an open pouch by incising it and suturing the edges of its wall to the edges of the wound;
Laparoscopy approach.