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Laparoscopically treated liver hydatid cysts
Metin Ertem1, Tayfun Karahasanoglu, Nihat Yavuz
1Department of General Surgery, Cerrahpasa Medical School, University of Istanbul, Goztepe/Istanbul, Turkey. mertem@istanbul.edu.tr
Archives of Surgery (Chicago, Ill. : 1960)
|October 4, 2002
Summary
Laparoscopic surgery for hepatic hydatid disease is safe and effective in selected patients. This minimally invasive approach demonstrated low morbidity and no mortality in a 7-year case series.
Area of Science:
- Hepatobiliary surgery
- Minimally invasive surgery
- Parasitic diseases
Background:
- Hepatic hydatid disease poses surgical challenges.
- Laparoscopic techniques are increasingly explored for abdominal conditions.
Purpose of the Study:
- To evaluate the efficacy and safety of laparoscopic treatment for hepatic hydatid disease.
- To assess outcomes including morbidity, mortality, and recurrence rates.
Main Methods:
- Retrospective case series of 48 adult patients undergoing laparoscopic hydatid cyst treatment.
- Procedures included cystotomy, partial cystectomy with drainage, and omentoplasty in select cases.
- Data on operative time, hospital stay, complications, and follow-up were analyzed.
Main Results:
- Mean operative time was 82 minutes; conversion to laparotomy occurred in 4% of cases.
- Mean hospital stay was 4.2 days, with 6% morbidity and no mortality.
- Follow-up averaged 34.2 months with no observed recurrences.
Conclusions:
- Laparoscopic surgery for hepatic hydatid disease is a safe and effective option for carefully selected patients.
- Further research is warranted due to the lack of a standardized surgical technique.