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Laparoscopic hepatectomy for the treatment of hepatic alveolar echinococcosis

Background: At present, laparoscopy is relatively mature as a minimally invasive technique, but there are few reports on this approach for the radical treatment of hepatic alveolar echinococcosis (AE). In this study, we aimed to evaluate the safety and feasibility of laparoscopic hepatectomy (LH) fo...

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Autores principales: Wan, Li, Ran, Bo, Aji, Tuerganaili, Shalayiadang, Paizula, Jiang, Tiemin, Shao, Yingmei, Wen, Hao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: EDP Sciences 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7805388/
https://www.ncbi.nlm.nih.gov/pubmed/33439119
http://dx.doi.org/10.1051/parasite/2021001
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author Wan, Li
Ran, Bo
Aji, Tuerganaili
Shalayiadang, Paizula
Jiang, Tiemin
Shao, Yingmei
Wen, Hao
author_facet Wan, Li
Ran, Bo
Aji, Tuerganaili
Shalayiadang, Paizula
Jiang, Tiemin
Shao, Yingmei
Wen, Hao
author_sort Wan, Li
collection PubMed
description Background: At present, laparoscopy is relatively mature as a minimally invasive technique, but there are few reports on this approach for the radical treatment of hepatic alveolar echinococcosis (AE). In this study, we aimed to evaluate the safety and feasibility of laparoscopic hepatectomy (LH) for AE treatment. Results: A retrospective review of medical records obtained from 13 patients diagnosed with AE between January 2018 and December 2019 and treated with laparoscopic hepatectomy was conducted at the First Affiliated Hospital of Xinjiang Medical University. All patients (n = 13) underwent hepatic resection using laparoscopy and none were transferred to open surgery. The average duration of surgery was 285 min (145–580 min). Intraoperative bleeding was 305 mL (20–2000 mL). The mean duration of postoperative catheterization was 6.9 days (3–21 days), and postoperative hospital stay was 7.2 days (4–14 days). No complication of Clavien-Dindo grade III or above occurred, except for the second patient with acute liver failure post-surgically. No recurrences or deaths were observed at 9–30 months of follow-up. Conclusions: Laparoscopic hepatectomy appears to be safe and effective in selected AE patients. The advantages of this technique for AE treatment need to be further compared with the classical open approach.
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spelling pubmed-78053882021-01-15 Laparoscopic hepatectomy for the treatment of hepatic alveolar echinococcosis Wan, Li Ran, Bo Aji, Tuerganaili Shalayiadang, Paizula Jiang, Tiemin Shao, Yingmei Wen, Hao Parasite Research Article Background: At present, laparoscopy is relatively mature as a minimally invasive technique, but there are few reports on this approach for the radical treatment of hepatic alveolar echinococcosis (AE). In this study, we aimed to evaluate the safety and feasibility of laparoscopic hepatectomy (LH) for AE treatment. Results: A retrospective review of medical records obtained from 13 patients diagnosed with AE between January 2018 and December 2019 and treated with laparoscopic hepatectomy was conducted at the First Affiliated Hospital of Xinjiang Medical University. All patients (n = 13) underwent hepatic resection using laparoscopy and none were transferred to open surgery. The average duration of surgery was 285 min (145–580 min). Intraoperative bleeding was 305 mL (20–2000 mL). The mean duration of postoperative catheterization was 6.9 days (3–21 days), and postoperative hospital stay was 7.2 days (4–14 days). No complication of Clavien-Dindo grade III or above occurred, except for the second patient with acute liver failure post-surgically. No recurrences or deaths were observed at 9–30 months of follow-up. Conclusions: Laparoscopic hepatectomy appears to be safe and effective in selected AE patients. The advantages of this technique for AE treatment need to be further compared with the classical open approach. EDP Sciences 2021-01-13 /pmc/articles/PMC7805388/ /pubmed/33439119 http://dx.doi.org/10.1051/parasite/2021001 Text en © L. Wan et al., published by EDP Sciences, 2021 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Wan, Li
Ran, Bo
Aji, Tuerganaili
Shalayiadang, Paizula
Jiang, Tiemin
Shao, Yingmei
Wen, Hao
Laparoscopic hepatectomy for the treatment of hepatic alveolar echinococcosis
title Laparoscopic hepatectomy for the treatment of hepatic alveolar echinococcosis
title_full Laparoscopic hepatectomy for the treatment of hepatic alveolar echinococcosis
title_fullStr Laparoscopic hepatectomy for the treatment of hepatic alveolar echinococcosis
title_full_unstemmed Laparoscopic hepatectomy for the treatment of hepatic alveolar echinococcosis
title_short Laparoscopic hepatectomy for the treatment of hepatic alveolar echinococcosis
title_sort laparoscopic hepatectomy for the treatment of hepatic alveolar echinococcosis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7805388/
https://www.ncbi.nlm.nih.gov/pubmed/33439119
http://dx.doi.org/10.1051/parasite/2021001
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