Comparison of safety and efficacy between laparoscopic surgery and open surgery for hepatic cystic echinococcosis

Objective To compare the safety and clinical efficacy between laparoscopic and open surgery for hepatic cystic echinococcosis. Methods Clinical data of 91 patients with hepatic cystic echinococcosis who underwent surgery in the First Affiliated Hospital of Xinjiang Medical University from January 2007 to October 2017 were retrospectively analyzed. Among them, 68 patients were male and23 female, aged 9-75 years with a median age of 46 years. The informed consents of all patients were obtained and the local ethical committee approval was received. All patients were divided into the endoscopic and open surgery groups according to different surgical procedures. The operation time, intraoperative blood loss, postoperative complications, length of hospital stay and gastrointestinal function recovery time were statistically compared between two groups by t test. Results The operation time in the endoscopic group was (154±40) min, significantly longer than (123±28) min in the open surgery group (t=4.000, P<0.05). The intraoperative blood loss, postoperative length of hospital stay and gastrointestinal function recovery time in the endoscopic group were (124±35) ml, (6.8±1.9) d, (35±18) h, significantly shorter than (188±88) ml, (13.1±6.1) d, (46±18) h in the open surgery group (t=-3.472, -5.020, -2.684; P<0.05). Conclusions Compared with the open surgery group, patients with liver cystic echinococcosis in the laparoscopic surgery has the advantages of shorter length of hospital stay, faster postoperative recovery. It is a safe and feasible surgical approach after indications are strictly evaluated. Key words: Echinococcosis, hepatic; Laparoscopes; Open surgery