Long-Term Results After Laparoscopic Pericystectomy in Patients with Hepatic Echinococcosis: Case Series with Follow-up

Primer Autor
Manterola, Carlos
Co-autores
Claros, Nataniel
Título
Long-Term Results After Laparoscopic Pericystectomy in Patients with Hepatic Echinococcosis: Case Series with Follow-up
Editorial
SPRINGER INDIA
Revista
INDIAN JOURNAL OF SURGERY
Lenguaje
en
Resumen
Laparoscopic pericystectomy (LP) could be of benefit in a subset of patients with hepatic echinococcosis (HE). However, there are few reports that have evaluated the long-term results. The aim of this study was to determine postoperative morbidity (POM) and recurrence in patients with HE who underwent LP with a follow-up period of at least 60 months. Case series with follow-up of patients with HE who underwent LP, at the Department of Surgery, Universidad de La Frontera, Chile, with a minimum follow-up of 60 months. Patients were treated between 2008 and 2015. The outcome variables were POM and recurrence. Other variables of interest were surgical time, conversion rate, hospital stay, and biliary leak rate. Descriptive statistics were used. Thirty-nine patients (74.4% women), with a mean age of 40.8 years, underwent the procedure (LP). The most frequent location was segments III and II-III (38.5%). The mean diameter cyst was 10.9 cm. Mean surgical time, conversion rate, hospital stay, and biliary leak rate was 91.6 min, 0.0%, 1.8 days, and 0.0% respectively. POM was 7.8% (seroma, atelectasis, and incisional hernia). With a median follow-up of 91 months, a recurrence of 2.6% was verified. Laparoscopic pericystectomy in patients with hepatic echinococcosis, when applied with selective criteria, can be a useful alternative, because its results in terms of postoperative morbidity and recurrence are comparable with open surgery series in similar follow-up time.
Tipo de Recurso
artículo original
doi
10.1007/s12262-021-03202-5
Formato Recurso
PDF
Ubicación del archivo
Categoría OCDE
Cirugía
Disciplinas de la OCDE
Cirugía
Gastroenterología y Hepatología
Otros Temas de Medicina Clínica
Título de la cita (Recomendado-único)
Long-Term Results After Laparoscopic Pericystectomy in Patients with Hepatic Echinococcosis: Case Series with Follow-up
Página de inicio (Recomendado-único)
1008
Página final (Recomendado-único)
1013
Identificador del recurso (Mandatado-único)
artículo original
Versión del recurso (Recomendado-único)
version publicada
Condición de la licencia (Recomendado-repetible)
0
Derechos de acceso
acceso abierto
Access Rights
acceso abierto
Identificador relacionado
https://rdcu.be/dJFqY
Id de Web of Science
WOS:000740401400001
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