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Peru has a high rate of hydatid cyst, however, there are no studies on surgical techniques. Objective: To compare the clinical and economic results of laparoscopic surgery and open surgery in the treatment of liver hydatid cyst. Methods: Analytical and cross-sectional study. The medical records of all adult patients with hepatic hydatid cyst operated by open and laparoscopic partial cystectomy from January 2013 to December 2015 were reviewed. Morbidity, mortality, recurrence, operating time, hospital stay, pain, postoperative Medical rest, and costs were evaluated and compared. Results: 22 patients underwent open partial cystectomy (Group 1) and 13 laparoscopies (Group 2). There were no differences in operating times or surgical complications, with postoperative morbidity 27.3% (Group 1) and 30.7% (Group 2). The conversion rate was 18.7%. There were no cases of in-hospital mortality and one case of recurrence (4.5%) after open surgery. No significant differences were found between intraoperative, postoperative, and total cost. Although the average total cost was lower for laparoscopic surgery (1700.99 ± 1195.82 USD for open surgery and 1561.83 ± 702.53 USD for laparoscopic surgery) there were no significant differences (p = 0.64). There was less postoperative pain, shorter hospital stay, and shorter duration of medical rest for laparoscopy (p<0.05). Conclusion: Clinical and economic outcomes were similar; however, there was less postoperative pain, hospital stay, and faster reintegration into work with laparoscopic surgery.

Clinical and economic results of laparoscopic versus open surgery in the treatment of hepatic hydatid cyst