Comparative Analysis of Open Echinococcectomy vs. Pair Technique in Children – 16 Years Experience

Background: Hydatidosis is a major problem in pediatric practice that can cause significant morbidity and mortality. The liver is the organ affected most frequently.

Aim: This study was carried out to compare the results and efficiency of mini-invasive and operative treatment of hydatid liver disease in pediatric patients.

Material and Methods: Comparative analysis of surgical and percutaneous treatment of children with hepatic hydatid cysts is presented. Data was collected from the records of 118 patients with hydatidosis from 2001 to 2016.

Results: Minor complications were urticaria and fever in 6 patients with PAIR method and inflammation of the surgical wound in 5 patients. Major complications were infection of the cyst cavity in а patient and development of biliary fistula in 3 patients underwent operative surgery. No site recurrences were observed in both of groups, but in four patients we inspected progression of the disease. No mortality, abdominal dissemination, or tract seeding occurred.

Conclusion: Surgery should no longer be regarded as the first choice treatment. PAIR can effectively replace surgical techniques in treatment of liver hydatid disease and may be imposed as a first method of choice.