To compare and evaluate the clinical efficacy of laparoscopic complete resection of hepatic hydatid cyst and open surgery in the treatment of cystic echinococcosis (HCE).

56 patients with HCE who received complete excision of the echinococcal cyst of liver from January 2015 to March 2019 were i were retrospectively analyzed. according to different operative methods, They are divided into two groups, 19 underwent laparoscopic surgery as the laparoscopic group, 37 routine laparotomy as the laparotomy group. The operative time, intraoperative blood loss and postoperative complications were compared between the two groups. SPSS21.0 statistical software was used for analysis. Intraoperative and postoperative indicators of the two groups of patients were expressed as (±s), and compared with independent t test. The incidence of postoperative complications were examined by chi square test. The difference was statistically significant when P<0.05.

In this study, the operation were completed in all the cases and clinical cure were achieved, and no serious complications or death was found during the perioperative period. Compared with the laparotomy group, the laparoscopic group had a longer operation time (P<0.05). However, intraoperative blood loss, postoperative length of hospital stay, time with catheter, time of first postoperative get out of bed, and time of anal exhaust were all lower (P<0.05). The overall incidence of complications in the laparoscopic group (26.3%) was significantly lower than that in the laparotomy group (64.9%), and the difference was statistically significant (P<0.05).

In addition to safety and effectiveness, laparoscopic complete resection of the echinococcal cyst has many advantages, such as minimally invasive, rapid postoperative recovery, short hospital stay, low incidence of complications, and beautiful incision. However, accurate preoperative evaluation and accurate surgical operation are important guarantees for the success of the operation.