Laparoscopic Management of Hydatid Cyst of Liver with Palanivelu Hydatid System over a Period of 3 Years: A Case Series of 32 Patients

Samala, Devdas S.; Gedam, Manik C.; Gajbhiye, Raj

doi:10.1007/s12262-014-1064-z

Cited by 10 publications

(11 citation statements)

References 18 publications

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“…Similarly Jani K et al [11] reported that the commonest compliant was pain or heaviness of abdomen. Our findings were also consistent with the study of Samala DS et al [12] as most common presenting symptom was pain in the abdomen in 22 patients (68.75%) followed by lump in the abdomen in 15 patients (46.87%). Palanivelu C et al [13] also found majority of patients (51.5%) presented with pain.…”

Section: Discussionsupporting

confidence: 93%

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Laparoscopic Treatment of Hydatid Cyst of Liver: Outcome at Tertiary Care Hospital

Khatoon¹,

Talpur²,

Shaikh³

et al. 2020

JPRI

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Objective: To determine the outcome of laparoscopic treatment of hydatid cyst of liver at tertiary care Hospital. Methodology: This cross sectional, study was conducted at public and private sector Hospitals of Jamshoro/Hyderabad from June 2017 to Sept 2019. It includes all diagnosed patients of Hydatid cyst of liver with either of gender and age range from 15 to 65 years who were operated laparoscopically. Patient’s demographic information, postoperative complications, operative time and hospital stay were recorded via self-made proforma and data was analyzed by using SPSS version 20. Results: Total 29 patients were admitted with hydatid disease of liver and out of them 21 patients underwent laparoscopic treatment during study period; their mean age was 46.7±13 years. Males were commonest 71.42% and 28.57% were female. Mean operative time was 98.3±18 minutes. According to postoperative pain, the average of visual analog score was 07.85±1.38 at 24 hours and 3.42±1.50 at 72 hours. VAS mean was 07.8 and 3.4 respectively. Cavity related infection was noticed in 3 cases; port site infection in two cases, bile leak in two and residual cyst was also found in two patients. Mean postoperative Hospital stay was 6.6 days. Conclusion: Laparoscopic surgery for hepatic hydatid disease can be conducted safely as it provides advantages of minimal invasive surgery. Careful selection of the patient is utmost important to achieve good results especially in initial phases.

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Section: Discussionsupporting

confidence: 93%

“…Echinococcal infestation should be suspected in patients who present with an abdominal mass, pain, fever, jaundice, or anaphylaxis [13,14]. [12] also found most of the patients in the third and fourth decades of life. In this series male gender was predominantly affected (71.4%), same observed by Palanivelu C et al [13] as 83.3%.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Treatment of Hydatid Cyst of Liver: Outcome at Tertiary Care Hospital

Khatoon¹,

Talpur²,

Shaikh³

et al. 2020

JPRI

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“…Six (of 57) studies [ 26 , 27 , 37 , 39 , 40 , 52 ] were prospective and the remaining ones were retrospective studies. Ages and operating times of the two procedures and hospital stays are not mentioned clearly in some studies, so they were not analyzed.…”

Section: Resultsmentioning

confidence: 99%

A systematic review and meta-analysis on the treatment of liver hydatid cyst using meta-MUMS tool: comparing PAIR and laparoscopic procedures

Sokouti¹,

Sadeghi²,

Pashazadeh³

et al. 2019

aoms

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A b s t r a c tIntroduction: There is an academic debate over surgical treatments of liver hydatid cyst disease. In this study, a systematic review and meta-analysis were carried out in order to evaluate the pros and cons of both PAIR (Puncture, Aspiration, Injection, Respiration) and laparoscopic techniques by considering the outcomes of liver hydatid cysts. Material and methods: We designed descriptive Boolean queries to search two databases, PubMed and Scopus, to derive the articles published in the period of January 2000 to December 2016 in order to evaluate the outcomes of these research articles. The outcomes of laparoscopic and PAIR procedures include the rates of cure, postoperative complications, recurrences, and mortality, which were extracted, assessed, and used as their corresponding effect sizes. Results: Fifty-seven studies including a total of 2832 patients (PAIR group n = 1650 and laparoscopic group = 1182) were analyzed. In this meta-analysis study, a random effect model of correlations of outcomes (postoperative complications, mortalities, recurrences, and cure rates) of PAIR and laparoscopy procedures was used. The meta-analysis and the forest plots of the two procedures show that the PAIR approach is superior in terms of cure, complication, and mortality rates compared with the laparoscopy technique. However, the recurrence rate is low in laparoscopic approaches. Moreover, Egger's tests for determining publication bias and heterogeneity tests were also performed. Conclusions: This study shows promising trends toward an advantage of PAIR procedures in treatment of liver hydatid cyst in comparison with laparoscopic procedures. The PAIR procedure is superior to laparoscopy due to having a higher cure rate and lower complication and mortality rates; however, the latter has a lower recurrence rate.

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“…In present study, a slight female preponderance is seen which is consistent with the most of the previous studies. 7,8,11 However male preponderances was also seen in few studies (Table 3). In the present study, majority (28.57%) of the patients were seen in the age-group of 31 to 40 years, while 5.71% (lowest) were in the age-group of 19 years to 30 years.…”

Section: Figure 1: Age-wise Distribution Of Study Participantsmentioning

confidence: 94%

“…Thus, right lobe was most commonly involved and this is consistent with previous studies. [7][8][9][10] Cysto (Figure 3). Operative complications were seen in 20% of the patients.…”

Section: Figure 1: Age-wise Distribution Of Study Participantsmentioning

confidence: 99%

Laparoscopic management in hydatid disease of liver: a series of 35 cases

et al. 2021

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Background: The purpose of this study is to analyse the sociodemographic factors & clinical features of hydatid disease of liver and to emphasize on the safety, efficacy and the role of laparoscopy in its management in the present scenario. Methods: A prospective observational study was done for 35 patients who were diagnosed with and later underwent surgical intervention laparoscopically for hydatid disease of liver over a duration of 3 years from January 2017 to December 2019. Diagnosis was based on the history, clinical examination, ultrasonography of abdomen (USG) and contrast enhanced computed tomography scan of abdomen (CECT).Results: A slight female preponderance with most cases in the 4th decade of life and belonging to rural areas and low socio-economic status. A single cyst in the right lobe of the liver was most common lesion. The most common surgery performed was laparoscopic de-roofing of the cyst with omentoplasty. The most common complication was intra-operative spillage of cyst contents followed by post-operative biliary leak. Conclusions: In the present era laparoscopic surgery is safe, efficacious and plays a crucial role in the management of hepatic hydatid disease with its proven benefits over the conventional surgeries including less morbidity and mortality and reduced rate of recurrence.

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Laparoscopic Management of Hydatid Cyst of Liver with Palanivelu Hydatid System over a Period of 3 Years: A Case Series of 32 Patients

Cited by 10 publications

References 18 publications

Laparoscopic Treatment of Hydatid Cyst of Liver: Outcome at Tertiary Care Hospital

Laparoscopic Treatment of Hydatid Cyst of Liver: Outcome at Tertiary Care Hospital

A systematic review and meta-analysis on the treatment of liver hydatid cyst using meta-MUMS tool: comparing PAIR and laparoscopic procedures

Laparoscopic management in hydatid disease of liver: a series of 35 cases

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