Laparoscopic Approach for Management of Hydatid Cyst of Liver.
J Nepal Health Res Counc
; 15(1): 67-70, 2017 Jan.
Article
in En
| MEDLINE
| ID: mdl-28714495
ABSTRACT
BACKGROUND:
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.METHODS:
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.RESULTS:
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.CONCLUSIONS:
Laparoscopic management of liver hydatid cyst was safe and effective in selective group of patients in equipped hospital.Key words
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Laparoscopy
/
Echinococcosis
/
Liver Diseases
Type of study:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limits:
Adult
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Asia
Language:
En
Journal:
J Nepal Health Res Counc
Journal subject:
PESQUISA EM SERVICOS DE SAUDE
Year:
2017
Document type:
Article
Affiliation country: