Laparoscopic management of parasitic liver cysts

Abstract

Parasitic liver cysts are common in many areas of the world. In our country, hydatid disease is the commonest to cause cystic lesions. We reviewd our data to compare and analyse the outcome of laparoscopic management of these patients. Patients and methods: We retrospectively reviewed our operative and inpatient data at the National liver institute, Menoufia University, Egypt for clinical and operative, postoperative details starting from January 2012 to June 2015. Results: 47 patients had operative management for hepatic hydatid cystic lesions. Twenty seven patients had laparoscopic management and twenty patients we managed through open procedures. 4 patients had multiple liver cysts and two had associated splenic hydatid cysts. Operative procedure included endocystectomy in all laparoscopic cases and while three of the open group had liver resection inadditon, hospital stay was at a mean of 3 days for lap cases and 6 cases for open group. Complications included anaphylactic shock in two patients in the open group and one cases of bile leak. While there were no complications in the lap. Group. Follow up showed occurrence of recurrence in two of the open group only. Conclusion: Laparoscopic endocystectomy is feasible and of low complication rate.