Comparative analysis of surgical management approaches for hydatid liver cysts: conventional vs. minimally invasive techniques

<h3>Introduction</h3><p dir="ltr">Hydatid liver disease is a prevalent condition in endemic areas, particularly in the Middle East and North Africa. The use of laparoscopy as a treatment option has gained popularity. However, there is still ongoing debate regarding the op...

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Main Author: Walid Elmoghazy (17017716) (author)
Other Authors: Jowhara Alqahtani (17017719) (author), Seon Woo Kim (3190833) (author), Ibnouf Sulieman (17017722) (author), Ahmed Elaffandi (17017725) (author), Hatem Khalaf (17017728) (author)
Published: 2023
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_version_ 1864513559655874560
author Walid Elmoghazy (17017716)
author2 Jowhara Alqahtani (17017719)
Seon Woo Kim (3190833)
Ibnouf Sulieman (17017722)
Ahmed Elaffandi (17017725)
Hatem Khalaf (17017728)
author2_role author
author
author
author
author
author_facet Walid Elmoghazy (17017716)
Jowhara Alqahtani (17017719)
Seon Woo Kim (3190833)
Ibnouf Sulieman (17017722)
Ahmed Elaffandi (17017725)
Hatem Khalaf (17017728)
author_role author
dc.creator.none.fl_str_mv Walid Elmoghazy (17017716)
Jowhara Alqahtani (17017719)
Seon Woo Kim (3190833)
Ibnouf Sulieman (17017722)
Ahmed Elaffandi (17017725)
Hatem Khalaf (17017728)
dc.date.none.fl_str_mv 2023-08-18T00:00:00Z
dc.identifier.none.fl_str_mv 10.1007/s00423-023-03043-8
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Comparative_analysis_of_surgical_management_approaches_for_hydatid_liver_cysts_conventional_vs_minimally_invasive_techniques/24173154
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
da Vinci robot
Pericystectomy
Hepatectomy
Bile leak
Recurrence
dc.title.none.fl_str_mv Comparative analysis of surgical management approaches for hydatid liver cysts: conventional vs. minimally invasive techniques
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Introduction</h3><p dir="ltr">Hydatid liver disease is a prevalent condition in endemic areas, particularly in the Middle East and North Africa. The use of laparoscopy as a treatment option has gained popularity. However, there is still ongoing debate regarding the optimal approach for surgical management. In this study, we present our experience with the surgical treatment of hydatid liver disease comparing conventional and minimally invasive approaches, including laparoscopic and robotic options.</p><h3>Methods</h3><p dir="ltr">We conducted a retrospective review of patients who underwent surgery for hydatid liver disease at our institution. Data was collected on the patients’ clinical presentations, cyst characteristics, surgical procedures performed, intraoperative findings, and postoperative complications.</p><h3>Results</h3><p dir="ltr">A total of 98 hydatid liver cysts were surgically managed in 57 patients. The mean age of the patients was 37.2 ± 10.2 years, with 38 (66.7%) being male. Among the patients, 14 (24.6%) underwent conventional surgery (6 partial pericystectomy, 4 total pericystectomy, and 4 liver resection), 37 (64.9%) underwent laparoscopic surgery (31 partial pericystectomy, 4 total pericystectomy, and 2 liver resection), and 6 (10.5%) underwent robotic surgery (6 partial pericystectomy). There were no significant differences between the conventional surgery and minimally invasive groups in terms of patient age, gender, cyst size, or number. However, laparotomy was associated with a higher number of total pericystectomy and liver resection procedures compared to the minimally invasive approach (P = 0.010). Nonetheless, the operation time and blood loss were comparable between both groups. Perioperative complications occurred in 19 (33.3%) patients, with 16 (84%) experiencing minor issues. Bile leak occurred in 8 (14%) patients, resolving spontaneously in 5 patients. There was no significant difference (P = 0.314) in the incidence of complications between the two groups. Conventional surgery, however, was associated with a significantly longer hospital stay (P = 0.034). During follow-up, there were no cases of mortality or cyst recurrence in our cohort.</p><h3>Conclusion</h3><p dir="ltr">Minimally invasive approaches for hydatid liver cysts offer advantages such as shorter hospitalization and potentially quicker recovery, making them valuable treatment options when accompanied by careful patient selection and adherence to proper surgical techniques.</p><h2>Other Information</h2><p dir="ltr">Published in: Langenbeck's Archives of Surgery<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00423-023-03043-8" target="_blank">https://dx.doi.org/10.1007/s00423-023-03043-8</a></p>
eu_rights_str_mv openAccess
id Manara2_88afdc6a1cd788093118772fa3ddf191
identifier_str_mv 10.1007/s00423-023-03043-8
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/24173154
publishDate 2023
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rights_invalid_str_mv CC BY 4.0
spelling Comparative analysis of surgical management approaches for hydatid liver cysts: conventional vs. minimally invasive techniquesWalid Elmoghazy (17017716)Jowhara Alqahtani (17017719)Seon Woo Kim (3190833)Ibnouf Sulieman (17017722)Ahmed Elaffandi (17017725)Hatem Khalaf (17017728)Biomedical and clinical sciencesClinical sciencesda Vinci robotPericystectomyHepatectomyBile leakRecurrence<h3>Introduction</h3><p dir="ltr">Hydatid liver disease is a prevalent condition in endemic areas, particularly in the Middle East and North Africa. The use of laparoscopy as a treatment option has gained popularity. However, there is still ongoing debate regarding the optimal approach for surgical management. In this study, we present our experience with the surgical treatment of hydatid liver disease comparing conventional and minimally invasive approaches, including laparoscopic and robotic options.</p><h3>Methods</h3><p dir="ltr">We conducted a retrospective review of patients who underwent surgery for hydatid liver disease at our institution. Data was collected on the patients’ clinical presentations, cyst characteristics, surgical procedures performed, intraoperative findings, and postoperative complications.</p><h3>Results</h3><p dir="ltr">A total of 98 hydatid liver cysts were surgically managed in 57 patients. The mean age of the patients was 37.2 ± 10.2 years, with 38 (66.7%) being male. Among the patients, 14 (24.6%) underwent conventional surgery (6 partial pericystectomy, 4 total pericystectomy, and 4 liver resection), 37 (64.9%) underwent laparoscopic surgery (31 partial pericystectomy, 4 total pericystectomy, and 2 liver resection), and 6 (10.5%) underwent robotic surgery (6 partial pericystectomy). There were no significant differences between the conventional surgery and minimally invasive groups in terms of patient age, gender, cyst size, or number. However, laparotomy was associated with a higher number of total pericystectomy and liver resection procedures compared to the minimally invasive approach (P = 0.010). Nonetheless, the operation time and blood loss were comparable between both groups. Perioperative complications occurred in 19 (33.3%) patients, with 16 (84%) experiencing minor issues. Bile leak occurred in 8 (14%) patients, resolving spontaneously in 5 patients. There was no significant difference (P = 0.314) in the incidence of complications between the two groups. Conventional surgery, however, was associated with a significantly longer hospital stay (P = 0.034). During follow-up, there were no cases of mortality or cyst recurrence in our cohort.</p><h3>Conclusion</h3><p dir="ltr">Minimally invasive approaches for hydatid liver cysts offer advantages such as shorter hospitalization and potentially quicker recovery, making them valuable treatment options when accompanied by careful patient selection and adherence to proper surgical techniques.</p><h2>Other Information</h2><p dir="ltr">Published in: Langenbeck's Archives of Surgery<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00423-023-03043-8" target="_blank">https://dx.doi.org/10.1007/s00423-023-03043-8</a></p>2023-08-18T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00423-023-03043-8https://figshare.com/articles/journal_contribution/Comparative_analysis_of_surgical_management_approaches_for_hydatid_liver_cysts_conventional_vs_minimally_invasive_techniques/24173154CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/241731542023-08-18T00:00:00Z
spellingShingle Comparative analysis of surgical management approaches for hydatid liver cysts: conventional vs. minimally invasive techniques
Walid Elmoghazy (17017716)
Biomedical and clinical sciences
Clinical sciences
da Vinci robot
Pericystectomy
Hepatectomy
Bile leak
Recurrence
status_str publishedVersion
title Comparative analysis of surgical management approaches for hydatid liver cysts: conventional vs. minimally invasive techniques
title_full Comparative analysis of surgical management approaches for hydatid liver cysts: conventional vs. minimally invasive techniques
title_fullStr Comparative analysis of surgical management approaches for hydatid liver cysts: conventional vs. minimally invasive techniques
title_full_unstemmed Comparative analysis of surgical management approaches for hydatid liver cysts: conventional vs. minimally invasive techniques
title_short Comparative analysis of surgical management approaches for hydatid liver cysts: conventional vs. minimally invasive techniques
title_sort Comparative analysis of surgical management approaches for hydatid liver cysts: conventional vs. minimally invasive techniques
topic Biomedical and clinical sciences
Clinical sciences
da Vinci robot
Pericystectomy
Hepatectomy
Bile leak
Recurrence