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Related Experiment Videos

Abdominal hydatids: a minimally invasive approach.

R Sinha1, N Sharma

  • 1Department of Surgery, MLB Medical College, Jhansi, UP India. sinharga@yahoo.com

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|September 11, 2001
PubMed
Summary

Minimally invasive treatments for abdominal hydatid disease, including ultrasound-guided aspiration and laparoscopic surgery, offer a less morbid alternative to traditional open surgery, with no recurrences observed in follow-up.

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Area of Science:

  • Hepatobiliary Surgery
  • Minimally Invasive Procedures
  • Parasitic Infections

Background:

  • Conventional surgery for abdominal hydatids, particularly liver hydatids, is associated with high morbidity, including prolonged hospital stays and wound complications.
  • Less invasive approaches are needed to improve patient outcomes and reduce healthcare burdens.

Purpose of the Study:

  • To evaluate the efficacy and safety of minimally invasive techniques for managing abdominal hydatid disease.
  • To compare outcomes of ultrasound-guided aspiration and laparoscopic-assisted percutaneous evacuation with traditional open surgery.

Main Methods:

  • A study involving 58 patients with abdominal hydatids.
  • 16 patients were managed with ultrasound-guided aspiration and 15% saline instillation as outpatients.

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  • 42 patients underwent laparoscopic-assisted percutaneous evacuation with partial pericystectomy and saline instillation, with omental packing in four and pericystic drains in all.

    • Main Results:

    • The aspiration group required 1-3 sittings with no reported complications.
    • Laparoscopic procedures had an average IV infusion time of 12.3 hours, with drain removal and discharge at 3.2 days.
    • Short-term complications in the laparoscopic group included prolonged drainage, bile collection, and intracystic pus; one patient required conversion to open surgery. Fifty-four months of follow-up showed no recurrences.

    Conclusions:

    • Minimally invasive management, encompassing aspiration and laparoscopic intervention, presents a viable alternative to open surgery for abdominal hydatids.
    • These techniques demonstrate reduced morbidity compared to conventional surgical approaches.