To investigate the clinical efficacy and follow-up results of three different laparoscopic procedures for hepatic hydatidosis.

The clinical data of 76 patients with hepatic hydatidosis treated with laparoscopic surgery in our hospital from January 2013 to April 2018 were retrospectively analyzed. There were 23 patients in group A(who underwent complete removal of hepatic hydatid cysts by laparoscopy), 25 patients in group B(who underwent laparoscopic removal of internal hepatic hydatid cysts) and 28 patients in group C(who underwent laparoscopic anatomical hepatectomy). SPSS20.0 statistical software was used for data processing. Perioperative data of each group were compared. Single factor analysis of variance was used among groups, LSD-t test was used for comparison between groups, and χ² test was used for complications and recurrence after follow-up. P<0.05 indicated the difference was statistically significant.

The operation time and bleeding volume in group C were significantly higher than those in group A and group B (P<0.05); the extubation time and hospitalization time in group B were significantly longer than those in group A and group C (P<0.05); the incidence of bile leakage, residual fluid and residual infection in group B was significantly higher than those in group C (P<0.05). Postoperative recurrence was found in 3 cases (12.5%) and no recurrence was found in the other two groups (P<0.05).

Both laparoscopic removal of hepatic hydatid cysts by laparoscopy and laparoscopic anatomical hepatectomy were safe and reliable, and the recurrence rate was low. The laparoscopic anatomic hepatectomy is helpful to the postoperative recovery of the patient and reduces the recurrence rate, which can be used as the main surgical method for the treatment of the hepatic hydatidosis.