World Journal of
Pharmaceutical and Life Sciences

OPEN VERSUS LAPAROSCOPIC TREATMENT FOR HYDATID DISEASE OF THE LIVER

Malik Azad Hussain*

ABSTRACT

Background: Laparoscopic approach is preferred now days both by the surgeons and the patients for any disease that needs surgical intervention, provided it is feasible. This study was designed to evaluate the results of laparoscopic treatment versus open approach in hydatid disease of liver. Objectives: To compare surgical outcome of laparoscopic approach versus open surgery for the management of hepatic hydatid disease. Material and methods: Patients, who were operated from June 2009 to June 2018 for hepatic hytatid disease, were enrolled in the study. Demographic and other baseline characteristics and results and complications of two surgical approaches (laparoscopic and open) were collected and recorded on a predesigned proforma. Data were analysed after applying statistical tests as appropriate. Results: A total of 54 patients had operative management for hepatic hydatid cystic lesions. Twenty seven patients had laparoscopic management and 27 patients were managed through open procedures. Hospital stay in laparoscopic group was 4.54±1.59 days while as in open group it was 9.8±1.61 days (P< 0.05). Wound site infection was significantly higher in open surgical group. Biliary leak was higher in laproscopic group but was not significant (p>0.05). Mean operative time in laparoscopic group was 93.80±6.01 minutes, while as in open group it was 63.41±7.96 minutes (P< 0.05). Follow up showed occurrence of recurrence in two of the open group only. Conclusions: Surgical site infection, hospital stay, recurrence are significantly reduced in laparoscopic as compared to open surgical approach except for greater operation time which favours open surgical approach. Our study suggests that laparoscopic approach for hepatic hydatid disease is feasible and safe.

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