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

Abstract

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.

Hepatic Hydatidosis Management

“…Compared to open surgery, laparoscopic surgery offers the advantages of a short hospital stay, less wound infection incidence rate, and minimal postoperative pain [7]. The disadvantage is that it is challenging to locate the capsule in certain positions, the risk of overflowing the contents of the capsule increases, and it is difficult to aspirate the capsule.…”