TY - JOUR
T1 - Percutaneous Versus Surgical Interventions for Hepatic Cystic Echinococcosis: A Systematic Review and Meta-Analysis
AU - Mönnink, G. L. E.
AU - Stijnis, C.
AU - van Delden, O. M.
AU - Spijker, R.
AU - Grobusch, M. P.
N1 - Funding Information: The authors express their gratitude to Miranda Langedam for her help with the data analysis. Publisher Copyright: © 2021, The Author(s).
PY - 2021/11
Y1 - 2021/11
N2 - Purpose: This systematic review and meta-analysis summarises the current literature on invasive treatment options of cystic hepatic echinococcosis (CE), comparing percutaneous radiological interventions to surgery, still the cornerstone of treatment in many countries. Methods: A literature search was conducted in Medline and EMBASE databases (PROSPERO registration number: CRD42019126150). The primary outcome was recurrence of cysts after treatment. Secondary outcomes were complications, duration of hospitalisation, mortality and treatment conversion. Results: The number of eligible prospective studies, in particular RCTs, was limited. In the four included studies, only conventional surgery is compared directly to percutaneous techniques. From the available data, in terms of recurrence, percutaneous treatment of hydatid cysts is non-inferior to open surgery. With regard to complications and length of hospital stay, outcomes favour percutaneous therapy. Conclusion: Although evidence from prospective research is small, percutaneous treatment in CE is an effective, safe and less invasive alternative to surgery.
AB - Purpose: This systematic review and meta-analysis summarises the current literature on invasive treatment options of cystic hepatic echinococcosis (CE), comparing percutaneous radiological interventions to surgery, still the cornerstone of treatment in many countries. Methods: A literature search was conducted in Medline and EMBASE databases (PROSPERO registration number: CRD42019126150). The primary outcome was recurrence of cysts after treatment. Secondary outcomes were complications, duration of hospitalisation, mortality and treatment conversion. Results: The number of eligible prospective studies, in particular RCTs, was limited. In the four included studies, only conventional surgery is compared directly to percutaneous techniques. From the available data, in terms of recurrence, percutaneous treatment of hydatid cysts is non-inferior to open surgery. With regard to complications and length of hospital stay, outcomes favour percutaneous therapy. Conclusion: Although evidence from prospective research is small, percutaneous treatment in CE is an effective, safe and less invasive alternative to surgery.
KW - Cystic echinococcosis
KW - Meta-analysis
KW - Percutaneous procedures
KW - Surgery
KW - Systematic review
UR - http://www.scopus.com/inward/record.url?scp=85111843209&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s00270-021-02911-4
DO - https://doi.org/10.1007/s00270-021-02911-4
M3 - Review article
C2 - 34272589
SN - 0174-1551
VL - 44
SP - 1689
EP - 1696
JO - Cardiovascular and interventional radiology
JF - Cardiovascular and interventional radiology
IS - 11
ER -