Role of videolaparoscopy in the surgical treatment of hepatic cystic echinococcosis

Abstract

Introduction and Aim: Cystic echinococcosis (CE) is the most common parasitic disease in Kyrgyzstan, which can affect all organs and organ systems of the body, but its most common localization is the liver and lungs. This study aimed to describe the possibilities and main stages of videolaparoscopy in the surgical treatment of hepatic CE. Materials and Methods: Twenty-five patients aged 17-64 years who were under observation were admitted to the surgical department of our hospital from 2018-2022, were diagnosed with hepatic CE, and underwent surgical treatment by videolaparoscopy. Results: The variant of the surgical technique was based on the use of three trocars including paraumbilical (basic – 10mm), epigastric (introduction and removal of a rubber sac with a chitinous sheath – 10 mm), and hypochondrium (on the right – 5mm). Only in three cases, it became necessary to include the 4th trocar mesogastric (on the right – 5mm), as demonstrated. The operation duration was 60±5 minutes. Drainage in the abdominal cavity was installed according to the location of the cavity and removed for 2-3 days. Conclusion: Laparoscopic methods of treatment of hepatic CE provide greater efficiency when performed with proper surgical manipulations by considering the size and localization of cysts.