Nonparasitic cysts of the liver: laparoscopic treatment and long-term results (original) (raw)
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Hydatid Cyst Liver, Laproscopic Management-Our Experience with 37 Patients
SafetyHydatid disease is caused by Echinococcus Granulosus and is a chronic parasitic disease in humans. The commonest organ involved in human beings is liver (50-80%) followed by lungs (15-47%). The surgical management of liver hydatid in humans has changed with the technological advances and modifications in laparoscopy from simple drainage to more advanced procedures like pericystectomy, segmentectomy and even hepatectomy in some cases. We conducted this study to assess the safety and outcomes of laparoscopic management of liver hydatid cysts in 37 patients and concluded that the Laparoscopic management of liver hydatid cyst is safe and effective in selected patients with a low recurrence rate and an acceptable biliary leak rate which can be managed with ERCP.
Laparoscopic management of parasitic liver cysts: A retrospective, comparative study
Saudi Surgical Journal, 2017
Introduction: Parasitic liver cysts are common in many areas of the world. In our country, hydatid disease is the commonest to cause cystic lesions. We reviewed our data to compare and analyze the outcome of laparoscopic management of these patients. This paper assesses the feasibility and safety of laparoscopic management of hepatic hydatid disease in a tertiary center in Egypt. Materials and Methods: We retrospectively reviewed our operative and inpatient data at the National liver institute, Menoufia university, Egypt for clinical and operative, postoperative details patients with preoperative diagnoses of a hepatic hydatid disease starting from June 2012 to June 2015. Results: 47 patients had operative management for hepatic hydatid cystic lesions. Twenty seven patients had laparoscopic management and 20 patients were managed through open procedures. Operative procedure included endocystectomy in all laparoscopic cases and while three of the open group had liver resection in addition. Hospital stay was at a mean of 3 days for lap cases and 6 cases for open group. Complications included one cases of bile leak and minor wound infections in the open group. While there were no complications in in the lap group. Follow up showed occurrence of recurrence in two of the open group only. Conclusions: With conventional laparoscopic instruments, the laparoscopic approach in the management of hepatic hydatid cysts is safe and feasible even. It showed shorter operative time and hospital stay with relatively decreased postoperative complication rate.
Our Experience in Laparoscopic Treatment of the Liver Hydatid Cysts
Absract : In the past open surgery was the only treatment of liver hydatidosis. There are now very good therapeutic alternatives: medical treatment alone, echo-guided puncture, laparoscopic treatment. In the 1990 " s, the hydatid cyst of the liver, started to be treated by laparoscopic surgery, given the advantages of this procedure. Objectives: To assess the results of the laparoscopic treatment of the hydatid cyst liver. Material and method: A number of 59 patients with hydatid cyst liver who underwent laparoscopic surgery over a period of 20 years, from 1995 to 2014 were studied. Results: Lagrot partial pericystectomy was performed in 43 patients (72.8% of cases) and total cystectomy in 16 patients (27.2% of cases). Patients with biliary lithiasis (17.4% of cases) associated with the hydatid cyst underwent laparoscopic cholecystectomy. Mortality was nil and morbidity was 8.7%. The average operating time was 85 minutes, the average hospital stay was 6 days and only one patient relapsed. Conclusions: Hydatid cyst laparoscopic approach is an alternative choice whenever meet criteria for selection of cases regarding the location of the cysts and their stage of evolution.
Single hydatid cyst of liver managed with laparoscopy – a case study
Videosurgery and Other Miniinvasive Techniques, 2011
Hydatid disease is not common in human populations of highly developed urban areas. However, increasing immigration, travel and international tourism have led to a recent increase in incidence. Surgery remains the method of choice in the management of hepatic hydatid cysts. Laparoscopic treatment of the disease has been questionable so far, though it is feasible and safe in use. We report a case of an 18-year-old woman, successfully treated with total cystectomy located in a favourable laparoscopic area-the border of the 3 rd and 4 th segment of the hepatic left lobe. The operation and hospitalization period were uncomplicated. Controlled follow-up laboratory and radiological tests showed no remaining pathology or recurrence in any form. In conclusion we state that the laparoscopic technique provides a feasible and efficacious option of treatment for some types of hydatid cysts located in the liver. It is a safe miniinvasive surgical approach which enables postoperative discomfort to be reduced and results in a quick recovery.
Laparoscopic management of hydatid cyst of the liver
2016
Background: Hydatid liver disease management has evolved from traditional operative approaches to the increasing application of laparoscopic treatments. We aimed to prospectively assess the early outcomes of laparoscopic treatment at our institution. Patients and methods: Forty-four patients with hydatid disease of liver were screened with ultrasonography and computed tomography of the abdomen to exclude Gharbi type V cysts. The distribution of cyst sizes was: 1-4 cm, 10; 5-10 cm, 24; 10-15 cm, 8; > 15 cm, 2 patients. The following laparoscopy therapies were performed: 30 patients had cystectomy alone, 14 patients had partial pericystectomy. Pericystectomy was performed using a hook and harmonic tissue sealers with the resection made through normal liver tissue. Results: Three patients were converted to open surgery. Seven patients had biliary leakage through their cystic cavity drains. Five stopped spontaneously by the 7 th postoperative day and 2 responded to ERCP sphincterotomy. There were no deaths and no recurrence of disease noted by 6 months. Conclusion: In selected patients with hepatic hydatid disease, a laparoscopic treatment is feasible and safe with low conversion rate and short term recurrences.
IOSR Journals , 2019
Background: Traditionally open surgical techniques have been used for the management of hepatic hydatid disease. The aim of our study was to evaluate the feasibility of laparoscopic surgery and its safety in its management with special reference to perioperative and postoperative complications and cyst recurrence. Methods: Ours was a prospective cohort study of 136 patients of hepatic hydatid disease managed by laparoscopy over a period of 6 years with a minimum follow-up of 5 years conducted in a tertiary care hospital of an endemic area. Results: The mean operative time was 86 minutes. We encountered spillage in 16 patients with one patient developing anaphylaxis. We needed conversion in one patient. Biliary leaks occurred in 13 patients with two eventually needing endoscopic sphincterotomy. One patient developed infection in the residual cavity and one patient had a recurrence. Conclusion: Laparoscopic management is a feasible and safe approach but should be used in carefully selected patients.
Role of laparoscopy in the management of Hydatid Cyst of Liver
Rawal Medical Journal, 2012
Objective months, then yearly by ultrasound and serology. To evaluate the role, feasibility and safety of Results laparoscopy in the treatment of hydatid cyst of There were 21 (39.62%) male and 32 (60.37%) liver. female patients. The age ranged between 14-70 Patients and Methods years (mean 43 year). The mean operative time This prospective study included 53 patients and was 50 minutes (range 45-110 minutes).The was conducted in the Department of General mean hospital stay was 2.5 days (range 1.5-3.5 Surgery, Ghulam Mohammad Mahar Medical days). Post-operative hematoma was found in College Hospital and Hira Medical Centre, one patient and collection with fever in two. Sukkur, Pakistan from February 2009 to January Conversion to open surgery was done in two 2012. All patients with hydatid cyst liver were patients; in one patient due to bleeding and in managed laparoscopically by excision or de-other patient due to multiple cysts found roofing of cyst wall and evacuation of germinal incidentally. No recurrence was observed. membrane (daughter cysts) and fluid by 10mm Conclusion sucker after injecting pure pyodine solution as a It is concluded that laparoscopic management of scolicidal agent. The cavity was then irrigated with hydatid cyst liver is safe, feasible and effective in normal saline and drain placed in it. The duration selected patients with low morbidity and early of surgery, morbidity, hospital stay and any recovery. (Rawal Med J 2012;37:322-324). recurrence were recorded to evaluate the efficacy, Key words feasibility and safety of laparoscopic Hepatic hydatid cyst, laparoscopy, complications management of hydatid cyst liver. All were of hydatid cyst. followed up at one month, three months and six
Laparoscopic Management of a Large Hydatid Cyst of Liver (Case Report)
Bali Medical Journal, 2015
Background: Hydatid disease in humans is endemic in sheep rearing regions. However, a worldwide distribution is encountered. This is a parasitic disease caused by Echinococcus granulossus, which is a cestode. Liver is the most affected organ. Surgery is the mainstay of treatment in hydatid cyst of liver. Since the popularization of laparoscopic surgery, hydatid cyst of liver is being treated laparoscopically in few of the centers. Spillage and anaphylactic reactions are the main pitfalls of laparoscopic management of the hydatid cyst of the liver. We present a case of hydatid cyst of liver, which was managed laparoscopically using Palanivelu Hydatid System (PHS) without any spillage or anaphylactic reaction.
Laparoscopic treatment of hepatic hydatid cyst
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2011
OBJECTIVE To determine the outcome of laparoscopic management of hepatic hydatid disease in terms of complications. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY Surgical C Unit, Khyber Teaching Hospital, Peshawar, from February 2007 to March 2010. METHODOLOGY All patients with 3 or less hepatic hydatid cysts who underwent laparoscopic treatment for hepatic hydatid cyst disease were included during the study period. Laparoscopic aspiration, unroofing and evacuation of the hepatic hydatid cysts was done. Clinicopathologic features, operative time, conversion to laparotomy, morbidity, mortality and recurrence rates were analysed. RESULTS Forty three patients had laparoscopic treatment for hepatic hydatid cysts. Females were 27 (62.79%) and males were 16 (37.20%). Mean age of patients was 38.6 ± 14.03 years (range 15-64 years). Pain was the commonest presentation occurring in 34 (79.06%) and mass in 9 (20.93%). Hepatic hydatid cysts were successfully treated laparoscopically in...
Journal of Mind and Medical Sciences, 2016
Introduction: Even though the development of the recent anti-parasitic drugs has led to a high degree of efficiency, surgical treatment still remains the gold standard for a number of conditions. Material and method. The authors discuss a series of 90 cases in a multicenter and retrospective analysis that stretches over 20 years. Results and discussions. These cases have been diagnosed and treated – through different surgical methods, both classical and laparoscopic – for hepatic hydatid cysts. The paper also presents a short review of the major types of surgical procedures cited in the international literature, with a specific focus on the advantages brought by Romanian innovations in this field. Conclusions. Even though the classical open approach still assumes the first place among surgical procedures, modern laparoscopic techniques have earned a much appreciated place in providing positive results based on long-term assessment, with virtually no or only minor complications. In t...