OUR EXPERIENCE WITH LAPAROSCOPIC PERICYSTECTOMY IN LIVER HYDATID DISEASE

Year 2022, Volume: 29 Issue: 2, 223 - 228, 30.06.2022

Alparslan Fedayi Çalta Ali Duran

https://doi.org/10.17343/sdutfd.1052285

Abstract

Objective
The aim of the study is to retrospectively evaluate
hydatid cyst cases in which we underwent laparoscopic
surgical treatment in terms of age, gender,
cyst location, cyst size and type, treatment applied,
duration of operation, early and late complications,
and recurrence, and compare these findings with the
literature.
Materials and Methods
Demographic information of patients such as age,
gender, serological and radiological examination results,
number of cysts, type, size, localization, type
and duration of operation, early and late complications,
duration of hospital stay, mortality and morbidity
data according to Gharbi classification. It was scanned
retrospectively from the registry system and analyzed
by creating a database.
Results
The mean age of the patients was 35.28 ±16.12 years,
and 42.9% were female (6/14) and 57.1% were
male (8/14).The most common complaints of patients
were pain (57.1%) and jaundice (21.4%), respectively.
CT (Computed Tomography) and USG (Ultrasound)
were requested for all patients at the stage of diagnosis.
Medical treatment was applied to all patients.
All patients underwent laparoscopic pericystectomy
operation. Oral treatment was started on the first day.
Bile leakage developed during the operation in three
(21.4%) patients and the primary was repaired. Bile
leakage developed in seven patients (50.0%, 7/14)
postoperatively, while two (14.3%) of these patients
required Endoscopic Retrograde Cholangio-Pancreatography
(ERCP). The patients were followed up for
one year, during which time mortality and recurrence
did not occur.
Conclusion
It is thought that laparoscopic surgery performed in
experienced centers and by experienced surgeons
will be preferred more frequently in the treatment of
hydatid cyst.

Keywords

Hydatid Cyst, ERCP, Laparoscopy

KARACİĞER KİST HİDATİĞİNDE LAPAROSKOPİK PERİKİSTEKTOMİ DENEYİMİMİZ

Abstract

Amaç
Çalışmanın amacı laparoskopik cerrahi tedavi uyguladığımız
kist hidatik olgularını yaş, cinsiyet, kist yerleşimi,
kist boyutu ve tipi, uygulanan tedavi, operasyon
süresi, erken ve geç dönem komplikasyonları ve nüks
açısından retrospektif olarak değerlendirmek ve bu
bulguları literatürle karşılaştırmaktır.
Gereç ve Yöntem
Hastaların yaş, cinsiyet gibi demografik bilgileri, serolojik
ve radyolojik tetkik sonuçları, kistlerin sayısı,
Gharbi sınıflamasına göre tipi, boyutu, lokalizasyonu,
operasyon şekli ve süresi, erken ve geç dönem
komplikasyonları, hastanede kalış süreleri, mortalite
ve morbidite verileri hastane kayıt sisteminden geriye
dönük tarandı ve veri tabanı oluşturularak analiz
edildi.
Bulgular
Hastaların yaş ortalaması 35.28 ±16.12 olup, %42.9’u
kadın (6/14) ve %57.1’i erkek (8/14) hastalardan oluşmaktaydı.
Hastaların en sık başvuru nedeni sırasıyla
ağrı (%57.1) ve sarılık (%21.4) şikayetleriydi. Hastaların
tamamına tanı aşamasında (Bilgisayarlı Tomografi)
BT ve (Ultrasonografi) USG istendi. Medikal tedavi
tüm hastalara uygulanmıştı. Tüm hastalara laparoskopik
perikistektomi operasyonu yapıldı. Oral tedavi
birinci gün başlandı. Hastaların üçünde (% 21.4) operasyon
esnasında safra sızıntısı gelişti ve primer onarıldı.
Postoperatif yedi hastada (%50.0, 7/14) safra
sızıntısı gelişirken, bu hastalardan ikisinde (%14.3)
ise Endoskopik Retrograd Kolanjiyo Pankreatografi
(ERCP) gereksinimi oldu. Hastalar bir yıl süreyle takip
edildi, bu sürede mortalite ve nüks gelişmedi.
Sonuç
Deneyimli merkezlerde ve tecrübeli cerrahlarca yapılan
laparoskopik cerrahinin kist hidatik tedavisinde
daha sık tercih edileceği düşünülmektedir.

Keywords

Kist Hidatik, ERCP, Laparoskopi.

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