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Updated: Jan 12, 2026
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Laparoscopic procedure versus conventional cystectomy for pediatric hepatic cystic echinococcosis:a controlled
Yeliaman Jiayilawu1, Hui Liu2, Ayiguzaili Maimaijiang2
1Xinjiang Medical University, School of Pediatrics, Urumqi, 830054, PR China.
Insights
Laparoscopic surgery shows comparable safety to conventional methods for pediatric hepatic cystic echinococcosis (HCE). While both approaches have similar long-term outcomes, laparoscopy offers reduced intraoperative bleeding and faster recovery.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Hepatobiliary Surgery
Background:
- Hepatic cystic echinococcosis (HCE) is a parasitic infection requiring surgical intervention in pediatric patients.
- Conventional surgery has been the standard treatment, but minimally invasive approaches are being explored.
Purpose of the Study:
- To compare the efficacy and safety of laparoscopic surgery versus conventional surgery for treating pediatric HCE.
- To evaluate key clinical outcomes including operative time, blood loss, pain, and postoperative complications.
Main Methods:
- Retrospective analysis of 78 pediatric HCE patients (ages 2-15) treated between April 2016 and September 2023.
- Patients were divided into laparoscopic (n=38) and conventional surgery (n=40) groups.
- Comparative analysis of clinical data including operative parameters, pain scores, and complication rates.
Main Results:
- No significant differences in baseline data, operation time, or rates of residual cavity issues, biliary leakage, hypernatremia, and recurrence between groups (P > 0.05).
- Laparoscopic surgery demonstrated significantly lower intraoperative bleeding, reduced postoperative pain (f-VAS), and shorter hospital stays (P < 0.05).
- Postoperative I-feed scores were also significantly better in the laparoscopic group.
Conclusions:
- Laparoscopic surgery is a safe and effective alternative for pediatric HCE, offering advantages in reduced bleeding and faster recovery.
- Both laparoscopic and conventional surgeries yield similar long-term outcomes regarding recurrence and complications.
- Minimally invasive approaches like laparoscopy may improve patient experience and reduce hospital resource utilization in pediatric HCE management.
Objective:
To investigate the efficacy and safety of laparoscopic surgery in treatment of pediatric hepatic cystic echinococcosis(HCE).
Methods:
The clinical data of 78 children with HCE infection who were treated at the Department of Pediatric Surgery of the First Affiliated Hospital of Xinjiang Medical University between April 2016 and September 2023 were retrospectively analyzed. The cohort comprised 52 males and 26 females. The age range of the subjects is from 2 to 15 years old. The children were divided into 2 groups according to the surgical methods employed: the laparoscopic group comprised 38 children who had undergone laparoscopic surgery, while the conventional group consisted of 40 children who had been treated with conventional surgery. A comparative analysis of the clinical data was conducted between those groups, encompassing baseline data, operation time, intraoperative blood loss, Postoperative I-feed score, facial visual analogue scale (f-VAS) 8 h after surgery, postoperative hospital stay, residual cavity infection rate, incidence of biliary leakage, incidence of postoperative hypernatremia, incidence of residual fluid, incidence of residual cavity infections and recurrence rate.
Results:
No significant differences were observed in the baseline data, operation time, residual effusion rate, residual infection rate, postoperative hypernatremia rate, biliary leakage rate and recurrence rate between the two groups (P > 0.05). However, statistically significant differences were noted in intraoperative bleeding, Postoperative I-feed score, 8-h postoperative f-VAS score and postoperative length of hospital stay (P < 0.05).
