Laparoscopic Treatment of Hydatid Cyst of the Liver: A Single Institutional Experience

Ibrahim A Salama, MDPhD. Ibrahim Abdelkader Salama M.D1, Mohamed houssani M.D2, Elamir Mahmoud Amir M.D3..

Objective: The aim of this study was to evaluate the safety and efficacy of laparoscopic ally treated hydatid cysts of the liver in our institutional experience.

METHODS: from November 2009 to December 2012, 58 patients underwent laparoscopic treatment of the hydatid cysts of the liver in National Liver Institute, Menophyia University. All patients had chest –X- ray, abdominal ultrasound, CT abdomen, chest, and brain and hydatid serology. The different stages of procedure were the same as in open surgery, puncture, Aspiration, injection of scoilocidal agent, re-aspiration, removal the proligerous membrane and deroofing, or pericystectomy.

RESULTS: The patient’s age range (7- 66 years). The number of the cysts ranged from (1 to 8) hydatid cysts with diameter range from (40 mm to190 mm). 34 in the right lobe, 18 in the left lobe and bilobar in 6 patients. 2 patients had associated splenic cysts and one patient had associated lung hydatid cyst. Conversion to open in 2 case (3.5%) associated with splenic cyst (splenectomy was done). No mortality. Morbidity in one case in the form of biliary leak treated by ERCP and stent. The mean operative time 65 minutes. Follow –up was carried out from 6 to 30 months (mean 14 months). There was no relapse of the disease.

CONCLUSION: Laparoscopy considered as a safe and excellent approach for the treatment of hydatid cysts of the liver. KEY WORDS: Hydatid cyst- laparoscopic resection –laparoscopic Hydatid deroofing.

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