Abstract
Laparoscopy surgery trials are small and unconvincing at present and are limited to higher centers. The objective of the study is to determine the clinical features, prevalence of site of hydatid cyst and complications of this modality of this treatment. A cross sectional study was carried out in all patients with one or two hepatic hydatid cyst who underwent laparoscopic management in KMCTH from January 2013 to March 2015 were included in the study. Aspiration, deroofing and evacuation of the hydatid cyst were done. Twenty six patients underwent laparoscopic management for liver hydatid cysts. Males were seven (65.38%) and females were 9(34.61%).The mean age was 35.5±13.1 years (range 21-55years.) The commonest complaint was pain and discomfort in 13(50%) patients and lump in 6(13.06%) patients. Twenty four (92.3%) patients were successfully treated with laparoscopic approach. Two (7.69%) patients had to be converted to laparotomy because of dense adhesions and bleeding. Mean operation time was 43.6±10.6 minutes. Two (7.69%) patients had port site infection. One (3.84%) patient had bile leak and no recurrence and mortality in our series. Laparoscopic management of liver hydatid cyst was safe and effective in selective group of patients in equipped hospital.
Highlights
Liver hydatid disease is usually asymptomatic but it may cause considerable morbidities and occasional death.[1]
Open surgery is performed but laparoscopic management is associated with low morbidities, quick recovery and short duration of hospital stay
Varieties of managements have been advocated from total pericystectomy, partial hepatectomy, laparoscopic de-roofing, percutaneous aspiration to conservative drug therapy
Summary
Liver hydatid disease is usually asymptomatic but it may cause considerable morbidities and occasional death.[1]. Open surgery is performed but laparoscopic management is associated with low morbidities, quick recovery and short duration of hospital stay .5,6. The minimally invasive procedure may be discouraging because of fear of anaphylactic shock resulting from spillage of hydatid fluid .7,8. The treatment should be tailored according to morphology, size, number and location of the cysts. Varieties of managements have been advocated from total pericystectomy, partial hepatectomy, laparoscopic de-roofing, percutaneous aspiration to conservative drug therapy .8-10. The objective of the study is to determine the clinical features, prevalence of site of hydatid cyst and complications of this modality of this treatment
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