Treatment of hydatid liver cyst: Comparison of open and laparoscopic surgery

Aim: The aim of this study was to compare parameters that influence patient selection, cyst features, treatment outcomes, morbidity, and death rates in hepatic hydatid disease open versus laparoscopic surgery. Material and Methods: A total of 660 patients were assessed between 2010 and 2020 who had surgery for a hepatic hydatid cyst diagnosis. The derision for open or laparoscopic surgery was made according to the stage, localization, number, size, and complication features of the cysts observed in the Computerized Tomography (CT) images and the characteristics of patients. The patients were divided into two groups: Open Surgery (Group A; n=607) and Laparoscopic Surgery (Group B: n-53). In terms of morbidity and mortality, characteristics of the cysts, patients, operation type, and treatment outcomes in both groups were compared. Results: The demographic characteristics of the groups were similar. A total of 1020 cysts were determined in 660 patients. In Groups A and B, the mean number of cysts was 1.59 and 1.03, respectively. The mean duration of surgery in Group A and B was 110 +/- 22 minutes and 70 +/- 18 minutes, respectively (p>0.05). The mean hospitalization time in Group A and B was 9.3 +/- 6.5 days and 6.5 +/- 1.1 days, respectively (p<0,05). The rate of biliary fistula in Group A and B was 35.5%, and 13.2%, respectively (p<0.05). The rate of other complications was 11.5% in Group A and 3.7% in Group B (p<0.05). Discussion: Laparoscopic surgery is an effective and safe intervention for cysts in the accessible peripheral segments of the liver.