title: World review of laparoscopic treatment of liver cystic echinococcosis--914 patients.
abstract: OBJECTIVE
  The aim of this study was to provide a review of the world literature on the laparoscopic treatment of liver hydatid cyst.
  
  
  METHODS
  We conducted a literature search using PubMed, screening all English language publications on the laparoscopic treatment of liver hydatid cysts. Operative characteristics, perioperative morbidity, and clinical outcomes were tabulated.
  
  
  RESULTS
  A total of 57 published articles including 914 patients with 1116 hydatid cysts were identified. Of the resections done in the 914 patients, 89.17% were performed totally laparoscopically and 5.58% were gasless. The most common procedure was cystectomy (60.39%), followed by partial pericystectomy (14.77%) and pericystectomy (8.21%); the rest were segmentectomies. Conversion to open laparotomy occurred in 4.92% of reported cases (45/914). The common cause of conversion was anatomical limitations/inaccessible locations (16/45). The overall mortality was 0.22% (2/914 patients) and morbidity was 15.07%, with no intraoperative deaths reported. The most common complication was bile leakage (57/914). The postoperative recurrence was 1.09% (10/914 patients).
  
  
  CONCLUSIONS
  The laparoscopic approach is safe with acceptable mortality and morbidity for both conservative and radical resections in selected patients. Clinical outcomes are comparable to open surgery, albeit in a selected group of patients.
authors.affiliation: Liver and Laparoscopic Surgery Department, Digestive and Vascular Surgery Center, 1st Affiliated Hospital of Xinjiang Medical University, No.137, Liyushan Road, Xinshi District, Urumqi, 830054, China.
authors.forename: Tuerhongjiang
authors.initials: T
authors.lastname: Tuxun
authors.affiliation: Liver and Laparoscopic Surgery Department, Digestive and Vascular Surgery Center, 1st Affiliated Hospital of Xinjiang Medical University, No.137, Liyushan Road, Xinshi District, Urumqi, 830054, China.
authors.forename: Jin-Hui
authors.initials: JH
authors.lastname: Zhang
authors.affiliation: Liver and Laparoscopic Surgery Department, Digestive and Vascular Surgery Center, 1st Affiliated Hospital of Xinjiang Medical University, No.137, Liyushan Road, Xinshi District, Urumqi, 830054, China.
authors.forename: Jin-Ming
authors.initials: JM
authors.lastname: Zhao
authors.affiliation: Liver and Laparoscopic Surgery Department, Digestive and Vascular Surgery Center, 1st Affiliated Hospital of Xinjiang Medical University, No.137, Liyushan Road, Xinshi District, Urumqi, 830054, China.
authors.forename: Qin-Wen
authors.initials: QW
authors.lastname: Tai
authors.affiliation: Liver and Laparoscopic Surgery Department, Digestive and Vascular Surgery Center, 1st Affiliated Hospital of Xinjiang Medical University, No.137, Liyushan Road, Xinshi District, Urumqi, 830054, China.
authors.forename: Mierxiati
authors.initials: M
authors.lastname: Abudurexti
authors.affiliation: Liver and Laparoscopic Surgery Department, Digestive and Vascular Surgery Center, 1st Affiliated Hospital of Xinjiang Medical University, No.137, Liyushan Road, Xinshi District, Urumqi, 830054, China.
authors.forename: Hai-Zhang
authors.initials: HZ
authors.lastname: Ma
authors.affiliation: Liver and Laparoscopic Surgery Department, Digestive and Vascular Surgery Center, 1st Affiliated Hospital of Xinjiang Medical University, No.137, Liyushan Road, Xinshi District, Urumqi, 830054, China. Electronic address: Dr.wenhao@163.com.
authors.forename: Hao
authors.initials: H
authors.lastname: Wen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D057868:Anastomotic Leak / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D000818:Animals; D001653:Bile Ducts, Intrahepatic / Q000473:pathology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004444:Echinococcosis, Hepatic / Q000401:mortality / Q000469:parasitology / Q000473:pathology / Q000601:surgery*; D004446:Echinococcus / Q000502:physiology; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D008099:Liver / Q000469:parasitology / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D016019:Survival Analysis
keywords: Echinococcosis; Laparoscopy; Liver; Morbidity; Mortality