Abstract
Background: Because of limited experience worldwide, controversies about the laparoscopic treatment
of liver hydatid cysts have not been resolved. The aim of this study was to describe
the technical details of a laparoscopic method we developed in 1992 and report the
initial results from an endemic area. Methods: Of the 30 consecutive patients with 33 liver hydatid cysts considered for laparoscopic
treatment during a 6-year period at a university hospital in Turkey, conversion to
an open procedure was required in 7 patients (23%) while 23 patients with 25 cysts
were able to be treated laparoscopically. Results: By using a special trocar to suspend the cyst against the abdominal wall, laparoscopic
simple drainage was performed in 16 patients (70%) and unroofing and drainage in 6
patients (26%). Pericystectomy was performed in 1 patient (4%). Complications were
observed in 1 patient (4%) perioperatively and 4 patients (17%) postoperatively. Eleven
patients (48%) were followed-up for a mean of 17 months (range, 3-72 months) and 1
recurrence (9%) was detected. Conclusions: This report is a very large experience with the laparoscopic treatment of liver hydatid
cysts in the literature. We have established a technique yielding a comparable morbidity
and recurrence rate to open series in early follow-up. We advocate that it is a safe
and simple technique with potentially a decreased risk of intra-abdominal spillage
compared with the other laparoscopic methods described. (Surgery 2000;128:36-40)
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Article info
Publication history
Accepted:
March 4,
2000
Footnotes
*Reprint requests: Ridvan Seven, MD, Istanbul Faculty of Medicine, Cerrahi Monoblok, Dept of General Surgery, Capa, 34390 Istanbul-Turkey.
***Eren Berber is currently a fellow at The Cleveland Clinic Foundation Department of General Surgery.
Identification
Copyright
© 2000 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
