DOI: http://dx.doi.org/10.18203/2349-2902.isj20211097

Laparoscopic management in hydatid disease of liver: a series of 35 cases

Aftab S. Shaikh, Amarjeet E. Tandur, Yugal S. Pathrabe, Dhiraj S. Patil, Ajay H. Bhandarwar, Nilofar A. Shaikh

Abstract


Background: The purpose of this study is to analyse the sociodemographic factors & clinical features of hydatid disease of liver and to emphasize on the safety, efficacy and the role of laparoscopy in its management in the present scenario.  

Methods: A prospective observational study was done for 35 patients who were diagnosed with and later underwent surgical intervention laparoscopically for hydatid disease of liver over a duration of 3 years from January 2017 to December 2019. Diagnosis was based on the history, clinical examination, ultrasonography of abdomen (USG) and contrast enhanced computed tomography scan of abdomen (CECT).

Results: A slight female preponderance with most cases in the 4th decade of life and belonging to rural areas and low socio-economic status. A single cyst in the right lobe of the liver was most common lesion. The most common surgery performed was laparoscopic de-roofing of the cyst with omentoplasty. The most common complication was intra-operative spillage of cyst contents followed by post-operative biliary leak.  

Conclusions: In the present era laparoscopic surgery is safe, efficacious and plays a crucial role in the management of hepatic hydatid disease with its proven benefits over the conventional surgeries including less morbidity and mortality and reduced rate of recurrence.

 


Keywords


Hydatid disease, Echinococcosis, Laparoscopy, Liver, Omentoplasty

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