Laparoscopic Management for Hydatid Disease of Liver: Experience of Single Center

Abstract

Objectives: The objectives of this study were to investigate the characteristics and outcome of patients with hydatid disease of the liver who were laparoscopically managed at our clinic and to define technical details of the method. Materials and methods: Between January 2011 and June 2012, 11 patients with hydatid disease of the liver were considered for laparoscopic surgery in our department. All the patients underwent to laparoscopic surgical interventions. Results: In all patients, laparoscopic cystotomy, unroofing with laparoscopic cutting and sealing instruments for surgical dissection and omentoplasty were performed. No conversion to laparotomy was necessary. No radiological recurrens was observed in a mean follow-up of 11 months (range: 3-18 months). Conclusion: Laparoscopy is quite feasible to perform in hydatid disease of the liver and, the use of laparoscopic cutting and sealing instruments allows effective dissection and partial cystectomy. Cyst size and grade is not restrict laparoscopic surgery for liver hydatic disease. Obliteration of the residual cystic cavity decreases postoperative complication rates, so an effective omentoplasty is essential especially for laparoscopic procedures. The use of helical fasteners allows effective omental flap fixation.