Laparoscopic Treatment of Hepatic Hydatid Disease

Alper, Aydın; Emre, Ali; Acarlı, Koray; Bilge, Orhan; Özden, İlgin; Arıoğul, Orhan

doi:10.1089/lps.1996.6.29

Cited by 38 publications

(33 citation statements)

References 14 publications

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“…Various surgeons have used different aspiration/suction devices, like simple needle aspiration [15], suction with liposuction device [16], large-diameter transparent cannula [17], Palanivelu hydatid system [18], special trocar used to suspend the cyst against the abdominal wall [19], and an aspiratorgrinder apparatus [20].…”

Section: Discussionmentioning

confidence: 99%

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

2014

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The aim of this article is to evaluate the role and safety of laparoscopic management of hydatid disease of liver using Palanivelu hydatid system (PHS) 1 with initial results. A prospective study of hepatic hydatid cyst underwent laparoscopic management using PHS, during the period from June 2008 to October 2010, in department of general surgery in a tertiary care institute. Selective patients were included in our study. Preoperatively 2 weeks and post operatively 6 weeks of Albendazole were given. All patients underwent surgery under general anesthesia. Hydatid cyst evacuation and omentoplasty were done with PHS system to prevent spillage. Cyst was irrigated with 2 % savlon. Drainage tube was kept near the cyst. There were 32 patients with 35 liver hydatid cysts operated. The mean operative time was 93.78 (70-180) min. Intraoperative complications were noted in two patients (6.2 %). Conversion was required in one patient (3.1 %). The mean duration of hospital stay was 3-10 days with an average of 5 days. There was no recurrence in mean follow-up of 3 years. There was no mortality with good subjective and objective cosmetic results. The laparoscopic cyst evacuation and omentoplasty using PHS are feasible and safe for treating the hydatid cyst of liver in selected patients. It aids early recovery with good cosmetic results.

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Section: Discussionmentioning

confidence: 99%

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

2014

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“…It is very hard to evacuate the cyst without spreading. We believe that processing new instruments for this purpose will help a lot [8, 10]. To minimize the spreading risk, pericystectomy can be used in selected locations of the cysts [11, 12].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Approach to Hepatic Hydatid Disease

Ertem¹,

Uras²,

Karahasanoğlu³

et al. 1998

Dig Surg

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Background: The aim of this paper is to present our brief experience on laparoscopic hydatid cyst surgery; we estimated the reproducibility of used techniques in conventional surgery with this relatively recent and attractive method. Methods: Fifteen cysts in 12 selected hydatid disease patients were treated laparoscopically. Cystotomy, partial cystectomy and drainage were performed in 9 patients. Omentoplasty was added to the procedure in the remaining 3 cases. Results: The mean postoperative hospital stay was 4.9 days. There was no mortality, and 1 patient developed bile leakage. Mean follow-up is 18 months. No recurrence was observed during this period. Conclusion: We suggest that laparoscopic treatment of hydatid disease is feasible in selected patients respecting the principles of open surgery and seems beneficial concerning postoperative comfort, hospital stay and return to daily activities.

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“…A more conservative approach is laparoscopic removal of the cysts and endoscopic sphincterotomy for intrabiliary rupture or external biliary fistulas. 58,59 Postoperative morbidity in laparoscopic studies ranges from 8% to 25%, 50,60 while in open series varies from 12% to 63%. 43,46 The treatment-related death after laparoscopy is almost zero, while in open series it ranges from 0% to 3%.…”

Section: Laparoscopic Treatmentmentioning

confidence: 99%