Surgical alternatives for hepatic hydatid disease

Area of Science:

• Hepatobiliary Surgery
• Minimally Invasive Techniques
• Parasitic Diseases

Background:

• Hepatic hydatid disease (HHD) presents a significant surgical challenge.
• Traditional open surgery (OS) for HHD is associated with considerable morbidity.
• Evaluating minimally invasive surgery (MIS) for HHD is crucial for improving patient outcomes.

Purpose of the Study:

• To compare the outcomes of minimal invasive surgery (MIS) versus open surgery (OS) for hepatic hydatid disease (HHD).
• To assess the efficacy of MIS in patients with solitary HHD.
• To analyze the safety and recovery profile of MIS compared to OS.

Main Methods:

• A retrospective analysis of 136 patients with HHD who underwent either OS (69 patients) or MIS (67 patients).
• MIS involved minimal incision laparotomy with laparoscopic video assistance and a specialized cyst evacuation device.
• All patients were followed up for a minimum of 6 months postoperatively.

Main Results:

• MIS procedures were significantly shorter (67.5 min vs. 98.6 min for OS).
• Incision length was substantially smaller in MIS (6.2 cm vs. 21.5 cm for OS).
• Patients undergoing MIS experienced shorter hospital stays (5.8 days vs. 12.5 days) and faster recovery (13.4 days vs. 25.2 days), with fewer postoperative complications.

Conclusions:

• Minimal invasive surgery (MIS) is a safe and effective alternative to open surgery (OS) for selected cases of hepatic hydatid disease (HHD).
• MIS offers advantages including reduced surgical time, smaller incisions, shorter hospital stays, and quicker rehabilitation.
• MIS is recommended for selected HHD patients with definitive indications, providing superior postoperative outcomes.