International Journal of Clinical Research

Objective To compare the efficacy of laparoscopic complete removal of the outer membrane of hepatic hydatid cyst and laparoscopic removal of the inner capsule of hepatic hydatid cyst in the treatment of hepatic hydatid disease. Methods Forty patients with confirmed diagnosis and surgical indications of hepatic hydatid cysts admitted to our hospital from January 2024 to October 2025 were selected as the research subjects. A prospective study was conducted, and they were randomly divided into a control group and an experimental group, with 20 cases in each group. The control group underwent laparoscopic removal of the hepatic hydatid cyst, while the experimental group underwent laparoscopic complete removal of the hepatic hydatid cyst outer membrane. The surgical time, intraoperative blood loss, and incidence of complications were compared between the two groups of patients. Results There was no statistically significant difference in surgical time between the two groups (P>0.05); The intraoperative blood loss of the experimental group was lower than that of the control group (P<0.05); The incidence of intraoperative and postoperative complications in the experimental group was 15.00%, which was lower than the 30.00% in the control group (P<0.05); The incidence rates of postoperative bile leakage, hydatid cyst recurrence, and residual cavity infection in the experimental group were 5.00%, 0.00%, and 0.00%, respectively, which were lower than those in the control group of 15.00%, 10.00%, and 15.00% (P<0.05). Conclusion Laparoscopic complete removal of the outer membrane of hepatic hydatid cyst has significant advantages in the treatment of hepatic hydatid disease, avoiding risks caused by excessive intraoperative bleeding and reducing the probability of intraoperative and postoperative complications. It is worth promoting and applying.

Hepatic hydatid disease; Laparoscope; Complete removal of the outer capsule; Internal capsule removal surgery; Clinical efficacy