Laparoscopic Pericystectomy in A Case of Liver Hydatid Cyst
Abstract
Despite the rapid developments in surgical technology and equipment, laparoscopy has not been widely practiced in the treatment of liver hydatosis
(LH). Here, we report a case of LH treated with laparoscopic radical surgery with appropriate selection based on preoperative imaging. A 24-year-old
woman was referred to our hospital due to hepatic hydatid cyst. Preoperative computed tomography showed hydatid cyst with detached laminar
membranes, 75 mm in size, involving segment 5 - 6 of the liver and attached to gallbladder. She underwent laparoscopic pericystectomy combined
with cholecystectomy after a failed puncture-aspiration-injection-reaspiration. The patient was discharged uneventfully on postoperative day one.
Total pericystectomy is the only treatment option for complete eradication of the parasites in selected cases. Especially, laparoscopic approach can
be safely performed in cases with hepatic hydatid cyst smaller than 10 cm, located peripherally and irrelevant to major ductal structures and vessels.
Keywords
Laparoscopic Pericystectomy, Liver Hydatidosis, Hydatid Cyst, Minimally Invasive Surgery, Echinococcosis, Case Report
References
- 1. Ramia JM, Poves I, Castellón C, et al. Radical laparoscopic treatment for liver hydatidosis. World J Surg. 2013;37:2387-2392.
- 2. Misra MC, Khan RN, Bansal VK, et al. Laparoscopic pericystectomy for hydatid cyst of the liver. Surg Laparosc Endosc Percutan Tech. 2010;20:24- 26.
- 3. Rooh-ul-Muqim, Kamran K, Khalil J, et al. Laparoscopic treatment of hepatic hydatid cyst. J Coll Physicians Surg Pak. 2011;21:468-471.
- 4. Alonso Casado O, Moreno González E, Loinaz Segurola C, et al. Results of 22 years of experience in radical surgical treatment of hepatic hydatid cysts. Hepatogastroenterology. 2001;48:235-243.
- 5. Yagci G, Ustunsoz B, Kaymakcioglu N, et al. Results of surgical, laparoscopic, and percutaneous treatment for hydatid disease of the liver: 10 years experience with 355 patients. World J Surg. 2005;29:1670-1679.
- 6. Dziri C, Haouet K, Fingerhut A. Treatment of hydatid cyst of the liver: where is the evidence? World J Surg. 2004;28:731-736.
- 7. Rihani HR, El-Nabulsi BA, Aziz A, et al. Laparoscopic approach to liver hydatid cyst. Is it safe. JRMS. 2005;12:69-71.
- 8. Tasev V, Dimitrova V, Draganov K, et al. [Hepatic echinococcosis: radical or conservative surgical treatment]. Khirurgiia (Sofiia). 2002;58:10-13.
- 9. Bickel A, Loberant N, Singer-Jordan J, et al. The laparoscopic approach to abdominal hydatid cysts: a prospective nonselective study using the isolated hypobaric technique. Arch Surg. 2001;136:789-795.
- 10. Manterola C, Fernández O, Muñoz S, et al. Laparoscopic pericystectomy for liver hydatid cysts. Surg Endosc. 2002;16:521-524.