Laparoscopic Management of Hepatic Hydatid Cysts in Kerbala

Kalaf Hassan, Abdulrazzak

	Laparoscopic Management of Hepatic Hydatid Cysts in Kerbala
Kerbala Journal of Medicine
Article 1, Volume 8, Issue 1, 2015, Pages 2085-2092 PDF (0 K)
Author
Abdulrazzak Kalaf Hassan
Abstract
background: Hydatid disease is a common problem in Iraq and Surgery is themainstay of treatment. This is a prospective study of those patients with liver Hydatidcyst who were managed surgically at Al-Hussain Medical City in Kerbala for a period of one and half year from January 2013 to June 2014. Aim of the study: The aim of this study was to discuss the clinical presentations, diagnoses, and laparoscopic surgical treatment of liver hydatid cysts in comparison with other studies . Methods: forty patients were enrolled in the study, data collected: preoperative assessment, type of treatment and postoperative follow-up until their discharge from our hospital. The diagnosis was based on clinical examination, plain X-Ray, U/S & CT scan, MRI and MRCP. Results and discussion: hydatid cyst forms the commonest space occupying lesion in the liver. The recurrent form of the disease was found in 12 patients (30% ) and the multiple liver hydatid found in 16 patients (40%). This relatively high incidence of recurrence and multiplicity of the disease indicate high prevalence of such pathology in our areas. 24 patients (60%) operated laparoscopically and 16 patients (40%) were operated by traditional opened method. The surgical treatment of hydatid cyst were in form of: Excision and external drainage in 32 patients (80%), excision and omentoplasty in 8 patients (20%). Post-operative complications included: Wound infection in 5 patients (12.5%), respiratory tract infection in 4 patients (10%), urinary tract infection in 3 patients (7.5 %), persistent drainage through the tube drain in 3 patients (7.5%), abscess collection in the residual cavity in 2 patients (5%) and persistent obstruction of the common bile duct in 1 patient (2.5%). Overall morbidity was 45% of our patients. No mortality was recorded. Conclusions: laparoscopic treatment of the hepatic hydatid cyst is a new method with great advantages and minimal disadvantage and we highly recommend to assess any patient for laparoscopic treatment.
Keywords
Laparoscope; hepatic hydatid cyst; Echinococcus

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