Clinical Analysis Of Laparoscopic Complete Resection Of Hepatic Hydatid Cyst In The Treatment Of Hepatic Cysticercosis

Objective: To compare and evaluate the clinical efficacy of laparoscopic echinotomy and open echinotomy in the treatment of hepatic cystic echinococcosis(HCE).Methods: Retrospective analysis in January 2015 to March 2019 were complete excision of the echinococcal cyst of liver in the treatment of patients with HCE 56 patients clinical data,according to different operative methods are divided into two groups,19 underwent laparoscopic surgery for laparoscopic group,37 routine laparotomy for laparotomy group.The operative time,intraoperative blood loss and postoperative complications were compared between the two groups.SPSS21.0 statistical software was used for analysis.Age,size of hydatid and relevant intraoperative and postoperative indicators of patients in the two groups were expressed as(sx ?),and were examined by independent t test.The location of hydatid,the type of hydatid and the incidence of postoperative complications were examined by chi square test.The difference was statistically significant when P < 0.05.Results: In this study,all the 56 patients successfully completed the operation and achieved clinical cure,and no serious complications or death occurred during the perioperative period.Compared with the laparotomy group,the laparoscopic group had a longer operation time(P<0.05).However,intraoperative blood loss,postoperative length of hospital stay,time with catheter,time of first postoperative get out of bed,and time of anal exhaust were all lower(P<0.05).The overall incidence of complications in the laparoscopic group(26.3%)was significantly lower than that in the laparotomy group(64.9%),and the difference was statistically significant(P<0.05).There was no statistically significant difference in the average hospitalization cost between the laparoscopy group and the laparotomy group(P>0.05).Conclusion: In addition to safety and effectiveness,laparoscopic complete resection of the echinococcal cyst has many advantages,such as minimally invasive,rapidpostoperative recovery,short hospital stay,low incidence of complications,and beautiful incision.However,accurate preoperative evaluation and accurate surgical operation are important guarantees for the success of the operation.