Comparison of safety and efficacy between laparoscopic surgery and open surgery for hepatic cystic echinococcosis

doi:10.3877/cma.j.issn.2095-3232.2019.05.012

Abstract

Abstract:

Objective

To compare the safety and clinical efficacy between laparoscopic and open surgery for hepatic cystic echinococcosis.

Methods

Clinical data of 91 patients with hepatic cystic echinococcosis who underwent surgery in the First Affiliated Hospital of Xinjiang Medical University from January 2007 to October 2017 were retrospectively analyzed. Among them, 68 patients were male and23 female, aged 9-75 years with a median age of 46 years. The informed consents of all patients were obtained and the local ethical committee approval was received. All patients were divided into the endoscopic and open surgery groups according to different surgical procedures. The operation time, intraoperative blood loss, postoperative complications, length of hospital stay and gastrointestinal function recovery time were statistically compared between two groups by t test.

Results

The operation time in the endoscopic group was (154±40) min, significantly longer than (123±28) min in the open surgery group (t=4.000, P<0.05). The intraoperative blood loss, postoperative length of hospital stay and gastrointestinal function recovery time in the endoscopic group were (124±35) ml, (6.8±1.9) d, (35±18) h, significantly shorter than (188±88) ml, (13.1±6.1) d, (46±18) h in the open surgery group (t=-3.472, -5.020, -2.684; P<0.05).

Conclusions

Compared with the open surgery group, patients with liver cystic echinococcosis in the laparoscopic surgery has the advantages of shorter length of hospital stay, faster postoperative recovery. It is a safe and feasible surgical approach after indications are strictly evaluated.

Key words: Echinococcosis, hepatic, Laparoscopes, Open surgery

Jun Chen, Tuxun Tuerhongjiang, Hong Wang, Hao Wen, Shaobin Duan. Comparison of safety and efficacy between laparoscopic surgery and open surgery for hepatic cystic echinococcosis[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2019, 08(05): 430-434.

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References 21

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组别	例数	年龄（岁，±s）	性别（例，男/女）	肝包虫位置（例）			囊肿直径（例）		囊肿分类（例）			术式（例）
组别	例数	年龄（岁，±s）	性别（例，男/女）	Ⅱ～Ⅲ段	Ⅳ～Ⅴ段	Ⅵ段	<5 cm	5～10 cm	CE1	CE2	CE3	外囊剥除或肝部分除术	内囊摘除术
腔镜组	24	52±14	13/11	10	8	6	14	10	9	11	4	14	10
开腹组	67	45±14	34/33	24	24	19	37	30	37	24	6	42	25
统计值	?	t=1.994	χ²=0.744	χ²=0.265			χ²=0.069		χ²=2.520			χ²=0.141
P值	?	0.982	0.083	0.876			0.792		0.284			0.707

组别	例数	年龄（岁，±s）	性别（例，男/女）	肝包虫位置（例）			囊肿直径（例）		囊肿分类（例）			术式（例）
组别	例数	年龄（岁，±s）	性别（例，男/女）	Ⅱ～Ⅲ段	Ⅳ～Ⅴ段	Ⅵ段	<5 cm	5～10 cm	CE1	CE2	CE3	外囊剥除或肝部分除术	内囊摘除术
腔镜组	24	52±14	13/11	10	8	6	14	10	9	11	4	14	10
开腹组	67	45±14	34/33	24	24	19	37	30	37	24	6	42	25
统计值	?	t=1.994	χ²=0.744	χ²=0.265			χ²=0.069		χ²=2.520			χ²=0.141
P值	?	0.982	0.083	0.876			0.792		0.284			0.707

组别	例数（例）	手术时间（min）	术中出血量（ml）	术后住院时间（d）	术后胃肠功能恢复时间（h）	术后镇痛药物使用时间（d）
腔镜组	24	154±40	124±35	6.8±1.9	35±18	2.6±1.3
开腹组	67	123±28	188±88	13.1±6.1	46±18	2.9±1.0
t值	?	4.000	-3.472	-5.020	-2.684	-1.100
P值	?	0.000	0.001	0.000	0.009	0.274

组别	例数（例）	手术时间（min）	术中出血量（ml）	术后住院时间（d）	术后胃肠功能恢复时间（h）	术后镇痛药物使用时间（d）
腔镜组	24	154±40	124±35	6.8±1.9	35±18	2.6±1.3
开腹组	67	123±28	188±88	13.1±6.1	46±18	2.9±1.0
t值	?	4.000	-3.472	-5.020	-2.684	-1.100
P值	?	0.000	0.001	0.000	0.009	0.274

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