Outcome following laparoscopik treatment for liver hydatid cyst: single-institution experience

Bulent C Yuksel, AssProf, Tezcan Akin, MD, Savas Baba, MD, Huseyin Berkem, MD, Hakan Ozel, MD, Fatih M Avsar, Prof. Ankara Numune Education and Research Hospital/Department of General Surgery.

Introduction : The most appropriate treatment to obtain the best result with the lowest rate of recurrence and minimal morbidity and mortality is mandatory for treatment of liver hydatid cyst(LHC). In addition to, obtain to optimal aesthetic satisfaction.

Methods: Between January 2011 and July 2013, 28 patients (28.5% male) with LHC underwent surgery. Only the fallowing aspects were considered as not eligible for laparoscopic surgery: cyst over the lack of access due to adhesion. Of the 28 patients who underwent laparoscopic treatment, 1 required conversion to open surgery.

Results: The median age was 39.29 years. Median cyst size was 8.23 cm.(range,3-16 cm). The most common location of the cyst was the right lobe (%67.8). Thye median number trocars used was 4. Protective scoloside-soaked swabs were used in all patients. We performed all cyst partial pericystectomy and discharge. Four cases was observed bile leakage, leakage was repaired laparoscopically.but, continued to leak in one case. The median operating time was 78 min(range, 35-120 min) and the mean blood loss 124 mL. The length of hospital stay was 4.13 days(range,1-16 day). No cyst recurrence was observed after a follow-up 15.6 months(range,3-36 monts)

Conclusion: Laparoscopic surgery provides a safe and efficacious for almost all types of LHC. Large .prospective, randomized trials are required to confirm its superiority.

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