Laparoscopic Management of a Large Hydatid Cyst of Liver (Case Report)

Padhy, Biren Prasad; Hota, Prasan Kumar

doi:10.15562/bmj.v4i3.156

Cited by 2 publications

(4 citation statements)

References 4 publications

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“…Many studies have reported male predominance [4][5][6] while some studies have reported female predominance or equal infestation in either gender. 7,9 Majority of the patients (13 i.e., 50%) with hydatid cyst of liver presented with abdominal pain and discomfort which was also been reported by other authors. 8,11 Abdominal lump was most common pathology found in six(23.06%) in the right lobe of liver.…”

Section: Discussionsupporting

confidence: 69%

“…Two cases had biliary fistula which needed ERCP and sphincterotomy with closure of bilio-cystic fistula in five days. 7,13 The mean operation time in our study was 40.51+8 minutes whereas it varied from 46 minutes to 90 minutes in other series with open procedures. 3,6,16 This may be because of better access with laparoscopic procedure.…”

Section: Discussionmentioning

confidence: 52%

“…Becket et al used a transparent bevelled cannula, Al-Shariff et al used a liposuction cannula and PHS (Palanivelu Hydatid System) not only prevent spillage but also visualize biliary cyst communications. 7,9,10 We used 10 mm suction tube connected to suction machine with intermittent suction and stop technique in this study and we didn't encounter any anaphylactic reaction in the patient during the surgery Various laparoscopic technique described are total peri-cystectomy, aspiration of contents, de-roofing of cyst and omentoplasty. 9,10 In this study, 26 patients of hydatid cysts were treated laparoscopically,applying the principles of conventional surgery, including inactivation of scolices with 20% hypertonic saline, aspiration of cyst contents, de-roofing of the cavity and evacuation of all contents and lastly omentoplasty.…”

Section: Discussionmentioning

confidence: 99%

“…5,6 The minimally invasive procedure may be discouraging because of fear of anaphylactic shock resulting from spillage of hydatid fluid . 7,8 The treatment should be tailored according to morphology, size, number and location of the cysts. Varieties of managements have been advocated from total pericystectomy, partial hepatectomy, laparoscopic de-roofing, percutaneous aspiration to conservative drug therapy .…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic Approach for Management of Hydatid Cyst of Liver

Shrestha

Thapa

Maharjan

et al. 2017

J Nepal Health Res Council

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Background: Laparoscopy surgery trials are small and unconvincing at present and are limited to higher centers. The objective of the study is to determine the clinical features, prevalence of site of hydatid cyst and complications of this modality of this treatment. Methods:A cross sectional study was carried out in all patients with one or two hepatic hydatid cyst who underwent laparoscopic management in KMCTH from January 2013 to March 2015 were included in the study. Aspiration, deroofing and evacuation of the hydatid cyst were done.Results: Twenty six patients underwent laparoscopic management for liver hydatid cysts. Males were seven (65.38%) and females were 9(34.61%).The mean age was 35.5±13.1 years (range 21-55years.) The commonest complaint was pain and discomfort in 13(50%) patients and lump in 6(13.06%) patients. Twenty four (92.3%) patients were successfully treated with laparoscopic approach. Two (7.69%) patients had to be converted to laparotomy because of dense adhesions and bleeding. Mean operation time was 43.6±10.6 minutes. Two (7.69%) patients had port site infection. One (3.84%) patient had bile leak and no recurrence and mortality in our series. Conclusions:Laparoscopic management of liver hydatid cyst was safe and effective in selective group of patients in equipped hospital.

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Section: Discussionsupporting

confidence: 69%

Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Laparoscopic Approach for Management of Hydatid Cyst of Liver

Shrestha

Thapa

Maharjan

et al. 2017

J Nepal Health Res Council

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Laparoscopic approach of hepatic hydatid double cyst in pediatric patient: difficulties, indications and limitations

Drăghici¹,

Popescu²,

Pătru³

et al. 2016

J Clin Invest Surg.

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Purpose: Laparoscopic management analysis of a rare condition having potentially severe evolution, seen in pediatric surgical pathology. Aims: Outlining the optimal surgical approach method of hepatic hydatid double cyst and the laparoscopic method's limitations. Materials and Methods: The patient is a 6 years old girl that presented with two simultaneous giant hepatic hydatid cysts (segments VII-VIII), having close vicinity to the right branch of portal vein and to hepatic veins; she benefited from a single stage partial pericystectomy Lagrot performed by laparoscopy. Results: The procedure had no intraoperative accidents or incidents. Had good postoperative evolution without immediate or late complications. Trocars positioning had been adapted to the patient's size and cysts topography. Conclusions: The laparoscopic treatment is feasible and safe, but is not yet the gold standard for a hepatic hydatid disease due to certain inconveniences. Acne conglobata is a rare, severe form of acne vulgaris characterized by the presence of comedones, papules, pustules, nodules and sometimes hematic or meliceric crusts, located on the face, trunk, neck, arms and buttocks.

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Laparoscopic Management of a Large Hydatid Cyst of Liver (Case Report)

Cited by 2 publications

References 4 publications

Laparoscopic Approach for Management of Hydatid Cyst of Liver

Laparoscopic Approach for Management of Hydatid Cyst of Liver

Laparoscopic approach of hepatic hydatid double cyst in pediatric patient: difficulties, indications and limitations

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