A comparison of Open Surgery and minimum Invasive Surgery in terms of recurrence of Hydatid Cyst in Lung and Liver

Abstract

Background: The recurrence of hydatid cysts in the liver and lung, after open and minimum-invasive surgery, is most commonly reported. In this study, the patients who underwent open surgery (OS) or minimum invasive surgery (MIS) for hydatid cysts in the liver and lung were prospectively followed to assess their comparative recurrence.   Objective: This study was planned to study the patients who underwent open surgery (OS) or minimum invasive surgery (MIS) for hydatid cysts in the liver and lung prospectively followed to assess their comparative recurrence.   Methodology: This prospective cohort study was conducted between February 2018 and July 2020 at Hayatabad Medical Complex, Peshawar, Pakistan. The patients who underwent open surgery (OS) or minimum invasive surgery (MIS) for hydatid cysts in the liver and lung and had an age greater than 18 years were included in the current study. A regular postoperative follow-up plan was implemented. The outcome of variables for the current study was the recurrence of the hydatid cyst. Statistical analysis was carried out using a statistical package for social science (SPSS v26). Result: A total of 63 patients were recruited for the current study. The mean age of the patient in the OS group was 43.83 ± 6.21 years, while in the MIS group was 46.75 ± 5.32 years. The liver cyst was high in both groups (p=0.37). There was no significant difference in the recurrence in both groups. (p=0.47). The reoccurrence rate was higher in the MIS group than in the OS group. Most of the cysts recurred within two years.   Conclusion: This study showed that the frequency of recurrent hydatid cysts was higher in the MIS than in the OS. Most of the hydatid cysts reoccurred within two years in the current study.