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Laparoscopic Management of complicated liver hydatid cyst extending into thorax

Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Soumya Chatnalkar, MBBS, Amol N Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Eham L Arora, MS, DNB, Shekhar Jadhav, MS, Amarjeet E Tandur, MS, Priyanka Saha, MBBS, Nidhisha Sadhwani, MBBS. Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, India

Hydatid disease is most common parasitic disease with liver being the most frequently affected organ. Hydatid is asymptomatic for long periods, symptoms are produced due to complications. Laparoscopic management of hepatic hydatid is well known. Transdiaphragmatic extension of hepatic hydatid into thorax is rare complication with incidence 0.6%. Here this presentation emphasises on laparoscopic technique for managing extended hepatic hydatid cyst into thorax.Right lobe of liver was replaced by the hydatid cyst. Intraoperative delineation of  gall bladder from hydatid cyst was demonstrated  using indocyanine green (ICG). On literature search did not reveal similar case with intrathoracic extension of hydatid cyst across diaphragm managed by laparoscopic approach. To our knowledge this is the first ever case managed laparoscopically avoiding the need for thoracotomy.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 93887

Program Number: V003

Presentation Session: HPB

Presentation Type: Video

69

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