Laparoscopic management of hydatid cyst of liver

Background and Objectives: The surgical treatment of liver hydatid disease has evolved dramatically and laparoscopic treatment has shown encouraging results with the advantages of minimally invasive surgery. We conducted this study to determine the outcome of laparoscopic management of hydatid dise...

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Autores principales:	Sumita Pradhan, Bikal Ghimire, Prasan Kansakar, rAMESH Singh Bhandar, Paleshwan Joshi Lakhey, YP Singh, P Vaidya, P Mishra, KP Singh
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Hydatid cyst Laparoscopy Echinococcus Surgery RD1-811
Acceso en línea:	https://doaj.org/article/7fa7cf77bdd840db9f7f73759fcc6b29
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spelling	oai:doaj.org-article:7fa7cf77bdd840db9f7f73759fcc6b292021-12-05T19:16:33ZLaparoscopic management of hydatid cyst of liver10.3126/jssn.v18i3.153101815-39842392-4772https://doaj.org/article/7fa7cf77bdd840db9f7f73759fcc6b292016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15310https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Background and Objectives: The surgical treatment of liver hydatid disease has evolved dramatically and laparoscopic treatment has shown encouraging results with the advantages of minimally invasive surgery. We conducted this study to determine the outcome of laparoscopic management of hydatid disease of the liver. Methods: Consecutive patients with this disease reporting to our department from July 2014 to July 2015 were offered laparoscopic management. All patients received pre- and postoperative albendazole. The laparoscopic technique consisted of aspiration of the cyst fluid, sterilization, suction and drainage of the cavity, deroofing and addition of omentoplasty. Age, sex, duration of surgery, surgical morbidity, hospital stay and evidence of hydatid cyst recurrence were measured. Results: Twenty six patients had laparoscopic treatment for hepatic hydatid cysts. Females were 18 (69.2%) and males were 8 (30.8%). Mean age of patients was 37.46 ± 15.96 years (range 17-74 years). Pain was the commonest presentation occurring in 21 (80.8%).The right lobe of the liver was most commonly involved in 20 patients (76.9%). The mean cyst size was 6.77 cm (range, 5 cm to 12 cm). Minor spillage of cyst contents occurred in 5 patients (19.23%) and major spillage occurred in 1 patient (3.8%). The mean duration of surgery was 84.81 ± 28.93 minutes (range 50 – 150 minutes). Conversion was needed in 2 (7.7%). Complications included portsite infection in 2 (7.7%), bile leak in 3 (11.5 %), fever in 5 (19.2%) and chest infection in 2 (7.7%) cases. Mean hospital stay is 4.58 ± 3.40 days (range 3-16). There was no mortality in the series. The average follow-up period is 7.81 ± 2.57 months. There have been no recurrences to date however 1 patient was lost to follow up. Conclusion: Laparoscopic management of hydatid cysts of the liver is a safe and effective option with advantage of minimally invasive surgery in properly selected patients. Sumita PradhanBikal GhimirePrasan KansakarrAMESH Singh BhandarPaleshwan Joshi LakheyYP SinghP VaidyaP MishraKP SinghSociety of Surgeons of NepalarticleHydatid cystLaparoscopyEchinococcusSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Hydatid cyst Laparoscopy Echinococcus Surgery RD1-811
spellingShingle	Hydatid cyst Laparoscopy Echinococcus Surgery RD1-811 Sumita Pradhan Bikal Ghimire Prasan Kansakar rAMESH Singh Bhandar Paleshwan Joshi Lakhey YP Singh P Vaidya P Mishra KP Singh Laparoscopic management of hydatid cyst of liver
description	Background and Objectives: The surgical treatment of liver hydatid disease has evolved dramatically and laparoscopic treatment has shown encouraging results with the advantages of minimally invasive surgery. We conducted this study to determine the outcome of laparoscopic management of hydatid disease of the liver. Methods: Consecutive patients with this disease reporting to our department from July 2014 to July 2015 were offered laparoscopic management. All patients received pre- and postoperative albendazole. The laparoscopic technique consisted of aspiration of the cyst fluid, sterilization, suction and drainage of the cavity, deroofing and addition of omentoplasty. Age, sex, duration of surgery, surgical morbidity, hospital stay and evidence of hydatid cyst recurrence were measured. Results: Twenty six patients had laparoscopic treatment for hepatic hydatid cysts. Females were 18 (69.2%) and males were 8 (30.8%). Mean age of patients was 37.46 ± 15.96 years (range 17-74 years). Pain was the commonest presentation occurring in 21 (80.8%).The right lobe of the liver was most commonly involved in 20 patients (76.9%). The mean cyst size was 6.77 cm (range, 5 cm to 12 cm). Minor spillage of cyst contents occurred in 5 patients (19.23%) and major spillage occurred in 1 patient (3.8%). The mean duration of surgery was 84.81 ± 28.93 minutes (range 50 – 150 minutes). Conversion was needed in 2 (7.7%). Complications included portsite infection in 2 (7.7%), bile leak in 3 (11.5 %), fever in 5 (19.2%) and chest infection in 2 (7.7%) cases. Mean hospital stay is 4.58 ± 3.40 days (range 3-16). There was no mortality in the series. The average follow-up period is 7.81 ± 2.57 months. There have been no recurrences to date however 1 patient was lost to follow up. Conclusion: Laparoscopic management of hydatid cysts of the liver is a safe and effective option with advantage of minimally invasive surgery in properly selected patients.
format	article
author	Sumita Pradhan Bikal Ghimire Prasan Kansakar rAMESH Singh Bhandar Paleshwan Joshi Lakhey YP Singh P Vaidya P Mishra KP Singh
author_facet	Sumita Pradhan Bikal Ghimire Prasan Kansakar rAMESH Singh Bhandar Paleshwan Joshi Lakhey YP Singh P Vaidya P Mishra KP Singh
author_sort	Sumita Pradhan
title	Laparoscopic management of hydatid cyst of liver
title_short	Laparoscopic management of hydatid cyst of liver
title_full	Laparoscopic management of hydatid cyst of liver
title_fullStr	Laparoscopic management of hydatid cyst of liver
title_full_unstemmed	Laparoscopic management of hydatid cyst of liver
title_sort	laparoscopic management of hydatid cyst of liver
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/7fa7cf77bdd840db9f7f73759fcc6b29
work_keys_str_mv	AT sumitapradhan laparoscopicmanagementofhydatidcystofliver AT bikalghimire laparoscopicmanagementofhydatidcystofliver AT prasankansakar laparoscopicmanagementofhydatidcystofliver AT rameshsinghbhandar laparoscopicmanagementofhydatidcystofliver AT paleshwanjoshilakhey laparoscopicmanagementofhydatidcystofliver AT ypsingh laparoscopicmanagementofhydatidcystofliver AT pvaidya laparoscopicmanagementofhydatidcystofliver AT pmishra laparoscopicmanagementofhydatidcystofliver AT kpsingh laparoscopicmanagementofhydatidcystofliver
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Laparoscopic management of hydatid cyst of liver

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