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ISSN 2073-8137

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Efficiency of retrieval bags for use during laparoscopic surgery to remove hydatid cysts of the liver

Sergey Minaev; Igor Vitalevich Kirgizov; Mikhail Aksel’rov; Igor Gerasimenko; Jamshid Shamsiev; Nikolay Bykov; Alina Nikolaevna Grigorova; Alexandr Muravyev;

The effectiveness of various retrieval bags for extracting resected tissues during removal of hydatid cysts (HCs) of the liver in children was evaluated. This open, prospective study included 59 children with HC of the liver treated during 2010–2019. Multiport laparoscopic echinococcectomy was undertaken. Patients were divided into three groups depending on the type of retrieval bag used to remove chitinous sheaths and fibrous tissues of liver fragments: group 1, laparoscopic endobag without wire (n=23); group 2, EndoCatch bag (n=19); group 3, vacuum retrieval bag (n=17). Mean duration of the laparoscopic procedure was 120 min (71–193 min) in group 1; 92 min (59–168 min) in group 2; and 75 min (56–105 min) in group 3. The longest time required to extract the chitinous and fibrous membranes from the abdominal cavity reliably (F=3.455, P=0.044) was 17.5±2.5 min (group 1), and the shortest time was 8.7±2.0 min (group 3). Complications occurred in four patients and were minor. There were no deaths. In conclusions, the choice of retrieval bags for use during laparoscopic surgery for removing HC of the liver is an important factor. Laparoscopic echinococcectomy with the use of the vacuum retrieval bag proved to be an effective, safe technique for addressing HC of the liver in children.


1. El Malki H. O., Souadka A., Benkabbou A., Mohsine R., Ifrine L. [et al.] Radical versus conservative surgical treatment of liver hydatid cysts. Br. J. Surg. 2014;101:669-675. https://doi.org/10.1002/bjs.9408
2. Venturella R., Rocca M. L., Lico D., La Ferrera N., Cirillo R. [et al.] In-bag manual versus uncontained power morcellation for laparoscopic myomectomy: randomized controlled trial. Fertil Steril. 2016;105:1369-1376. https://doi.org/10.1016/j.fertnstert.2015.12.133
3. Raheem A. Laparoscopic Treatment of Hepatic Hydatid Disease. World Journal of Laparoscopic Surgery. 2009;21:35-39.
4. Karabicak I., Yuruker S., Seren D. T., Kesicioglu T., Cinar H. [et al.] Single incision laparoscopic surgery for hepatic hydatid disease. Report of a case. Ann. Ital. Chir. 2013;84:451-3.
5. Gomez I., Gavara C. Review of the treatment of liver hydatid cysts. World J. Gastroenterol. 2015;21:124-131. https://doi.org/10.3748/wjg.v21.i1.124
6. Ibtisam M., Aljohani К. Tailgut Cyst and Perineal Hydatid Cyst: A Case Report with Multimodality Imaging Findings. Case Reports in Radiology. 2016;ID4212753,5. https://doi.org/10.1155/2016/4212753
7. Minaev S. V., Gerasimenko I. N. Up-to-date approaches in treatment of hydatid disease of the liver in childhood. Vestn. Khir. im. I. I. Grek. 2013;172(1):71-74. PMID: 23808232
8. Minaev S. V., Gerasimenko I. N., Kirgizov I. V., Shamsiev A. M., Bykov N. I. [et al.] Laparoscopic Treatment in Children with Hydatid Cyst of the Liver. World J. Surg. 2017;41:3218-3223. https://doi.org/10.1007/s00268-017-4129-x
9. Chipde S. S., Yadav A., Ranjan P., Prakash A., Kapoor . Total laparoscopic management of a large renal hydatid
cyst by using hydatid trocar cannula system. J. Surg. Tech. Case Report. 2012;4:32-35. https://doi.org/10.4103/2006-8808.100351
10. Karthik S., Augustine A. J., Shibumon M. M., Pai M. V. Analysis of laparoscopic port site complications: A descriptive study. J. Min. Access. Surg. 2013;9:59-64.
11. Paradiso V. P., Nanni L. Pediatric laparoscopic cholecystectomy with 2.3 mm Percutaneous Surgical System (Mini Lap Ò ): A new frontier for pediatric mini laparoscopy? J.Ped. Surg. Case Reports. 2016;6:13-16. https://doi.org/10.1016/j.epsc.2016.02.001
12. Kao C., Cha T., Sun G., Yu D., Chen H. [et al.] Cost-effective homemade specimen retrieval bag for use in laparoscopic surgery: Experience at a single center. Asian Journal of Surgery. 2012;35:140-143. https://doi.org/10.1016/j.asjsur.2012.04.025
13. Ramachandran C. S., Goel D., Arora V. Laparoscopic surgery in hepatic hydatid cysts: a technical improvement. Surg. Laparosc. Endosc. Percutan Tech. 2001;11:14-18.
14. Alessandro M., Stefano L. Echinococcus multilocularis in North America: the great unknown. Parasite. 2014;21:73. https://doi.org/10.1051/parasite/2014069
15. Berchi F. Management of Hydatid Cysts. In: Saxena A., Höllwarth M. (eds) Essentials of Pediatric Endoscopic Surgery. Springer, Berlin, Heidelberg; 337-341. https://doi.org/10.1007/978-3-540-78387-9_48
16. Milićević M. Radical versus conservative surgical treatment of liver hydatid cysts (Br. J. Surg. 2014;101:669-675). Br. J. Surg. 2014;101:676. https://doi.org/10.1002/bjs.9487
17. Hemmati S. H. How to Build a Simple and Safe Laparoscopic Hydatid Evaluation System. Journal of the Society of Laparoendoscopic Surgeons. 2014;18:e2014.00314. https://doi.org/10.4293/JSLS.2014.00314
18. Minaev S. V., Gerasimenko I. N., Shchetinin E. V., Schetinin V., Mishvelov A. E. [et al.] 3D reconstruction in surgery of hydatid cyst of the liver. Medicinskii vestnik Severnogo Kavkaza. – Medical News of North Caucasus. 2019;14(1.2):220-223. https://doi.org/10.14300/mnnc.2019.14019
19. Nelson I., Enrico B. Cystic Echinococcosis. J. Clin. Microbiol. 2016;54:518-523. https://doi.org/10.1128/JCM.02420-15

Keywords: retrieval bag, outcome, laparoscopy, hydatid cyst, liver, children

Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy