Preliminary experience in laparoscopic resection of hepatic hydatidectocyst with the Da Vinci Surgical System (DVSS): a case report

Abstract

BackgroundAt present, Da Vinci robotic assisted hepatectomy has been routinely carried out in conditional units. But there is no report concerning the use of Da Vinci robots for hepatic hydatid cystectomy and experience on this aspect is seldom mentioned before. This study was to summarize the preliminary experience in laparoscopic resection of hepatic hydatidectocyst with the Da Vinci Surgical System (DVSS).Case presentationA 29-year-old female diagnosed as hepatic hydatid in the right anterior lobe of liver was treated with laparoscopic resection by the DVSS under general anesthesia. Appropriate disposal of tumor cell in vascular system and disinfection of surgical field with hypertonic saline were conducted. The hepatic hydatidectocyst was resected completely with an operation time of 130 min, an intraoperative blood loss of 200 ml and a length of hospital stay for five days. The vital signs of patient were stable and no cyst fluid allergy occurred after operation.ConclusionsOur result showed that laparoscopic resection of hepatic hydatidectocyst by using the DVSS is safe and feasible on the basis of hospitals have rich experience in treatment of cystic echinococcosisliver, resection with DVSS and laparoscopic excision.

Surgical management of hydatid cyst disease of the liver: An improvement from our previous experience?

“…Recent practices exemplify the emergence of robotic surgery in the treatment of hydatid cysts. Robotic surgery is known for its superiority in terms of maneuverability, a better fine dissection which can allow removal of deeper intraparenchimatous cysts, as well as maintaining a similar rate of complication and recurrence in comparison with laparoscopic surgery[ 16 - 18 ]. However, one of the major disadvantages of robotic surgery consists of its cost effectiveness, which can be a deterrent for some tertiary centers.…”

Hydatid cyst: Introducing a new surgical approach towards hepato-pulmonary fistula, a case report

“…Indeed, advancement of laparoscopic surgery provides a technical basis for minimally invasive surgery for hydatid cysts with less morbidity, rapid recovery and a shorter hospital stay compared to conventional open procedures [13] , [14] . There are no reported case reports in the literature for the management of hepato-pleural fistula through a laparoscopic approach [15] , [16] .…”

“…Second, the use of laparoscopy will allow reduced length of incision and minimal abdominal trauma and abdominal adhesions. Moreover, during the surgery, the magnified view of laparoscopy and the use of trocars will reduce the complications such as bleeding and bile leakage and maximize the preservation of normal liver tissue [13] . In addition, patients can resume diet earlier after surgery and have a shorter hospital stay [13] .…”

“…Moreover, during the surgery, the magnified view of laparoscopy and the use of trocars will reduce the complications such as bleeding and bile leakage and maximize the preservation of normal liver tissue [13] . In addition, patients can resume diet earlier after surgery and have a shorter hospital stay [13] . To note, verbal consent was provided by the patient for write-up of this case report.…”

Laparoscopic treatment of hepatic hydatid disease: Şanlıurfa-Turkey experience and early clinical outcomes

“…Minimal invasive techniques such as percutaneous drainage procedures and laparoscopic approaches have started to replace the classical surgical approaches. [3,4] Laparoscopic treatment was first described in 1992, and in recent years there has been a steady growth especially in the laparoscopic approach. The technique chosen is either PAIR (percutaneous, aspiration, injection and re-aspiration) or laparoscopic surgery; the main purpose of the treatment is to prevent cystic inactivation and spread of cystic content into the abdomen like the conventional open cyst hydatid surgery in addition to the clearance of the cystic content and minimization of the cyst cavity.…”