Published online Feb 7, 2024. doi: 10.3748/wjg.v30.i5.462
Peer-review started: November 1, 2023
First decision: December 6, 2023
Revised: December 19, 2023
Accepted: January 11, 2024
Article in press: January 11, 2024
Published online: February 7, 2024
Processing time: 90 Days and 14 Hours
Some hydatid cysts of cystic echinococcosis type 1 (CE1) lack well-defined cyst walls or distinctive endocysts, making them difficult to differentiate from simple hepatic cysts.
To investigate the diagnostic methods for atypical hepatic CE1 and the clinical efficacy of laparoscopic surgeries.
The clinical data of 93 patients who had a history of visiting endemic areas of CE and were diagnosed with cystic liver lesions for the first time at the People's Hospital of Xinjiang Uygur Autonomous Region (China) from January 2018 to September 2023 were retrospectively analyzed. Clinical diagnoses were made based on findings from serum immunoglobulin tests for echinococcosis, routine abdominal ultrasound, high-frequency ultrasound, abdominal computed tomo
All 93 patients were diagnosed with simple hepatic cysts by conventional abdominal ultrasound and abdominal CT scan. Among them, 16 patients were preoperatively diagnosed with atypical CE1, and 77 were diagnosed with simple hepatic cysts by high-frequency ultrasound. All the 16 patients preoperatively diagnosed with atypical CE1 underwent laparoscopy, of whom 14 patients were intraoperatively confirmed to have CE1, which was consistent with the postope
Abdominal high-frequency ultrasound can detect CE1 hydatid cysts. The laparoscopic technique serves as a more effective diagnostic and therapeutic tool for CE.
Core Tip: This retrospective study investigated the diagnostic methods for atypical hepatic cystic echinococcosis type 1 (CE1) and evaluated the clinical efficacy of laparoscopic surgeries. In total, 93 patients were diagnosed with simple hepatic cysts by conventional abdominal ultrasound and abdominal computed tomography scan. Among them, 16 patients were preoperatively diagnosed with atypical CE1, of whom 14 were diagnosed with CE1 intraoperatively after laparoscopy. The remaining 77 patients were diagnosed with simple hepatic cysts by high-frequency ultrasound, of whom 4 patients received aspiration sclerotherapy of hepatic cysts, and 19 patients were intraoperatively diagnosed with simple hepatic cysts. Abdominal high-frequency ultrasound can detect CE1 hydatid cysts.