Department of Urology, Health Sciences University, Adana City Training and Research Hospital, Adana, Turkey.
Department of Urology, Adana Seyhan State Hospital, Adana, Turkey.
J Laparoendosc Adv Surg Tech A. 2022 Apr;32(4):427-431. doi: 10.1089/lap.2021.0031. Epub 2021 Apr 12.
To compare the efficacy, safety, and long-term results of laparoscopic and open approaches in patients undergoing surgery for renal hydatid cyst. The files of 36 patients who were surgically treated in our clinic and with diagnosis of renal cyst hydatid confirmed pathologically were reviewed. According to the surgical technique applied, the patients were divided into two groups as open (group 1) or laparoscopic (group 2) partial pericystectomy. Oral albendazole was given 10 mg/kg/day (in two divided doses) for 4 weeks preoperatively and for three cycles of 4 weeks at 1-week intervals after surgery in all patients. Demographic characteristics, laboratory and imaging findings, operation times, hospitalization times, complications, intraoperative bleeding amounts, and recurrence rates were statistically compared in both groups. Open partial pericystectomy was performed in 21 patients in group 1, and laparoscopic transperitoneal partial pericystectomy was performed in 15 patients in group 2. Operation time and intraoperative bleeding amount in group 1 and group 2 were 119.6 ± 17.1/116.1 ± 17.6 minutes and 125.7 ± 27.8/113.9 ± 19.2 mL, respectively. There was no statistically significant difference between these values ( = .557, = .167, respectively). Hospitalization duration of both groups was 5.9 ± 1.4/3.6 ± 0.7 days, respectively. Hospitalization duration in group 2 was statistically significantly shorter ( < .001). No recurrence occurred during postoperative follow-up in either group. In the treatment of renal hydatid cysts, laparoscopy, which is a minimally invasive approach, can be technically applied with the same principles as open surgery and has a similar efficacy and safety profile for short- and long-term results.
比较腹腔镜和开放手术治疗肾包虫囊肿患者的疗效、安全性和长期结果。回顾了在我院接受手术治疗并经病理证实为肾囊肿包虫病的 36 例患者的病历。根据应用的手术技术，患者分为两组：开放（组 1）或腹腔镜（组 2）部分囊壁切除术。所有患者术前均给予阿苯达唑 10mg/kg/天（分两次服用），连续 4 周；术后每 1 周服用 3 个 4 周疗程。比较两组患者的一般情况、实验室和影像学检查结果、手术时间、住院时间、并发症、术中出血量和复发率。组 1 中 21 例患者行开放部分囊壁切除术，组 2 中 15 例患者行腹腔镜经腹腔部分囊壁切除术。组 1 和组 2 的手术时间和术中出血量分别为 119.6±17.1/116.1±17.6 分钟和 125.7±27.8/113.9±19.2 毫升，差异无统计学意义（=0.557，=0.167）。两组的住院时间分别为 5.9±1.4/3.6±0.7 天，组 2 的住院时间明显缩短（<0.001）。两组患者术后随访均无复发。在治疗肾包虫囊肿时，腹腔镜作为一种微创方法，在技术上可以与开放手术相同的原则进行应用，具有相似的短期和长期疗效和安全性。
