The Evaluation of Treatment Efficacy of The Laparoscopic Interventions for Hepatic Cystic Echinococcosis

Abstract

For the treatment of the Cystic Echinococcosis (CE) different surgical and non-surgical approaches are present. Laparoscopy has replaced the conventional open surgeries that were highly used in the past. This chronic liver infection is caused by the cestode. This disease is increasing the mortality and morbidity cases. Objective: To evaluate the treatment efficacy and complications in patients experienced during the postoperative period. The recurrence rate of the laparoscopic treatment was also calculated. Methods: A total of 24 patients visited the Islam Medical College Sialkot from June 2019 to March 2021 were included in the study. The patients were pre-treated with the albendazole (10mg/kg) for almost one week. Then the Palanivelu hydrated system was used for the laparoscopic partial peri cystectomy. Postoperative complication was classified on the basis of the Clavien-Dindo classification system. Results: The calculated mean age of the 24 patients that participated in the study was 34 ± 15.6 years. The included patient’s age was between 17-76 years. Out of 24, 17 were males and other 7 were females. The 21 patients belonged to the hilly areas. The 19 patients reported the complaint of abdomen pain. While cyst at the right side of the liver was observed in the 90% cases. Abdominal pain and cyst formation were the most common symptoms and pathology reported in the patients. The 10.4±3.1 was the calculated mean size of the cyst. The calculated mean operative time was 80.8±19.8 (60-20) minutes. According to WHO grading of cyst the 4 patients were included in the group with unilocular cyst, while the 7 patients were included in the CE1 hydatid group. Conclusions: The study proved that the laparoscopic treatment is an effective treatment for the hepatic CE. This treatment has reduced the risks of recurrences, mortality and conversion in the treated patients.