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Updated: Jun 22, 2026
Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
Published on: June 16, 2023
[Laparoscopic treatment of hepatic hydatid cysts: techniques and post-operative complications]
Javier Baltar Boilève1, Ivan Baamonde De La Torre, Pablo Concheiro Coello
1Servicio de Cirugía General y del Aparato Digestivo, Hospital de Conxo, Complexo Hospitalario Universitario de Santiago, Santiago de Compostela, España. javier.baltar.boileve@sergas.es
Introduction:
We evaluate our experience in the surgical laparoscopic treatment of hepatic hydatid cysts with the same criteria that we use in open surgery.
Material And Methods:
A retrospective study of 8 operated patients and their intra- and postoperative complications.
Results:
We performed the scheduled surgery on 7 patients; bleeding was the reason for conversion to open surgery in the remaining one. We made 4 complete peri-cystectomies, 3 de-roofing and 1 hepatic resection. Two patients had postoperative bile leaks: the first one had an external leak that needed an endoscopic sphincterotomy and the other developed an abscess that needed reintervention for drainage. This patient also had a right hepatic vein thrombosis that disappeared spontaneously. Finally, 3 patients had hypernatremia without clinical symptoms.
Conclusions:
Many of the open surgery techniques for hepatic hydatid cysts can be performed laparoscopically, without any specific instruments. Our complications with laparoscopic treatment of hepatic hydatid cysts were similar to those of open surgery.
