Publication: Comparison of Laparoscopic and Conventional Cystotomy/Partial Cystectomy in Treatment of Liver Hydatidosis
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Bektasoglu, HÜSEYİN KAZIM
HASBAHCECI, Mustafa
Taşçı, Yunus
Aydogdu, Ibrahim
MALYA, FATMA ÜMİT
Kunduz, ENVER
Dolay, KEMAL
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Abstract
Introduction. Hydatidosis is a zoonotic infection and treatment is mandatory to avoid complications. Surgery remains the frst choice
in the treatment especially for CE2-CE3b cysts. Open or laparoscopic approaches are available. However, comparative studies are
limited. Materials and Methods. Data of patients who underwent cystotomy/partial cystectomy for liver hydatidosis between January
2012 and September 2016 (n=77) were evaluated retrospectively. Recurrent cases and the patients with previous hepatobiliary
surgery were excluded. 23 patients were operated upon laparoscopically and named as Group 1. 48 patients operated conventionally
named as Group 2. Demographics, cyst characteristics, operative time, length of hospital stay, recurrences, and surgery related
complications were evaluated. Results. Groups were similar in terms of demographics, cyst characteristics, and operative time. Te
length of hospital stay was 3.4 days in Group 1 and 4.7 days in Group 2 (p=0,007). Te mean follow-up period was 17.8 months
and 21.7 months, respectively (p=0.170). Overall complication rates were similar in two groups (p=0.764). Tree conversion cases
occurred (13%). One mortality was seen in Group 2. Four recurrences occurred in each group (17% versus 8.3%, respectively)
(p=0.258). Conclusions. Laparoscopy is a safe and feasible approach for surgical treatment of liver hydatidosis. Recurrence may be
prevented by selection of appropriate cases in which exposure of cysts does not pose an intraoperative difculty
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Bektasoglu H. K. , HASBAHCECI M., Taşçı Y., Aydogdu I., MALYA F. Ü. , Kunduz E., Dolay K., -Comparison of Laparoscopic and Conventional Cystotomy/Partial Cystectomy in Treatment of Liver Hydatidosis-, BIOMED RESEARCH INTERNATIONAL, 2019