Background and Aims: Pediatric echinococcosis, caused by Echinococcus granulosus, remains a global challenge, particularly in endemic regions like Bulgaria. Surgical intervention is the primary treatment for complex cysts. This study evaluates the outcomes of innovative surgical techniques in pediatric patients treated for hepatic and pulmonary echinococcal cysts at St. Marina Hospital, Varna.

 

Methods: A retrospective analysis of pediatric cases (2019–2024) was conducted. Data included patient demographics, cyst characteristics (size, location), surgical methods (laparoscopic vs. open surgery), and postoperative outcomes. Key outcome measures were complication rates, length of hospital stay, recurrence rates, and recovery time. Statistical analysis identified predictors of successful treatment. 

Results: Preliminary data suggest laparoscopic cystectomy is associated with shorter hospital stays and lower complication rates compared to open surgery. Long-term outcomes are under evaluation to further assess the effectiveness of these techniques. 

Conclusions: Innovative surgical approaches may improve patient recovery and reduce complications in pediatric echinococcosis. Adoption of these techniques could enhance treatment outcomes in endemic regions. 

Keywords: Pediatric echinococcosis, laparoscopic cystectomy, surgical innovation, infectious disease