Surgical management of hydatid cyst disease of the liver: An improvement from our previous experience?

Table 2 Characteristics of the cysts and intraoperative parameters

Parameter		Laparoscopic, n = 70 (%)	Open approach, n = 170 (%)	P value
Liver segments	II-IV	27 (38.5)	41 (24.11)	0.04
	V-VI	28 (40)	48 (28.23)	0.14
	VII	20 (28.57)	63 (37.05)	0.03
	VIII	15 (21.42)	54 (31.24)	0.02
	I	1 (1.42)	11 (6.47)	0.06
Distribution	Right lobe	44 (62.85)	105 (61.95)	0.89
	Left lobe	18 (25.72)	31 (18.48)	0.2
	Both lobes	8 (11.43)	34 (20)	0.14
Number of cysts	Unique cysts	59 (84.28)	134 (72.82)	0.04
	Multiple cysts	11 (15.72)	50 (27.18)
Dimension of cysts	Smaller than 5 cm	17 (24.28)	37 (20.13)	0.41
	5-10 cm	47 (67.14)	113 (61.42)	0.38
	Larger	6 (8.57)	34 (18.45)	0.06
	Median diameter (cm)	6.5 (2-17)	7.5 (2-20)	0.001
	No cystobiliary communication (cm)	5.5 (2-17)	7 (2-17)	0.02
	With cystobiliary communication (cm)	6 (4-10)	8 (3-20)	0.01
Type of cyst	Pure clear fluid cyst	16 (22.85)	39 (22.82)	0.93
	Hydatid daughter cyst	33 (47.14)	70 (41.3)	0.86
	Calcified cyst	9 (12.85)	33 (19.56)	0.43
	Avital hydatid cyst	6 (8.57)	5 (2.92)	0.07
	Secondarily infected cyst	6 (8.57)	23 (13.58)	0.22
Type of surgery	Lagrot percystectorny	56 (80)	118 (69.56)	0.26
	Total percystectomy	8 (11.45)	33 (20.1)	0.14
	Hepatic resection	6 (9.55)	19 (11.34)	0.67
Surgical parameters	Intraoperative complications	0 (0)	9 (4.89)	0.04
	Postoperative complications	4 (5.7)	13 (7.06)	0.76
	Presence of cysto-biliary fistula	13 (18.57)	56 (32.9)	0.01
	Median operative time (min)	75 (50-110)	100 (55-280)	0.001
	Median blood loss (mL)	35 (0-120)	90 (0-400)	0.001
Postoperative mortality		0 (0)	0 (0)	1