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

Ibrahim A Salama, MDPhD¹, Mohammed Elhosany, MD², Elamir M Amir³. ¹Deaprtment of Hepatobiliary Surgery,National Liver Institute,Menophyia University,Egypt, ²Department of Radiology,National Liver Institute,Menophyia University, Egypt, ³Department of Parsitology,National Liver Institute,Menophyia University,Egypt

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 2006 to 2009, 28 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, 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). 2 patients had associated splenic cysts and one patient had associated lung hydatid cyst. Conversion to open in one case (3.5%) the case was 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 38 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.