COMPARISON OF LAPAROSCOPIC VS OPEN HYDATID CYST DEROOFING & OMENTOPLASTY

Dr Dinesh Prasad, Dr Sagar Patel

Abstract


Introduction:- Hydatid cyst is zoonotic infection and treatment is mandatory to avoid complications. Surgery remains the first choice in the treatment. Open or laparoscopic approaches are available. However, comparative studies are limited.

Materials and method:- Data of patients who underwent deroofing and omentoplasty for hydatid cyst between January 2013 to January 2018 were evaluated retrospectively. Recurrent cases and the patients with previous hepatobiliary surgery were excluded. 8 patients were undergoing laparoscopic surgery (group A) and 8 underwent for open surgery (group B). Cyst characteristics, operative time, duration of drain, postoperative complications were evaluated.

Results:-  Groups were similar in terms of cyst characteristics. Mean Operative duration for group A was 92 mins and for group B, it was 74 mins. Mean Postoperative pain score according to VAS is 2 for group A and 4 for open surgery. Mean Hospital stay for group A was 6 days for group A and 14 days for group B. No other significant postoperative complications present except only 1 patient present with wound infection in group B. No recurrences were found in any groups.

Conclusions:- Laparoscopy is a safe and feasible approach for surgical treatment of liver hydatid cyst.


Keywords


Cystic echinococcosis, Hydatid cyst, laparoscopic or open surgery.

Full Text:

PDF

References


Bresson-Hadni SM, Mantion GA, Vuitton DA.Echinococcosis of the liver. In: Rodes JB, Blei AT, Reichen M, Rizzetto ED, editors.Textbook of hepatology. 3rd ed., Oxford: Blackwell Publishing; 2007. pp. 1047-57.

Buttenschoen K, Carli Buttenschoen D. Echinococcus granulosus infection: the challenge of surgical treatment. Langenbecks Arch Surg 2003; 388: 218-230.

McManus DP, Gray DJ, Zhang W, Yang Y. Diagnosis, treatment, and management of echinococcosis. BMJ 2012; 344: e3866.

Dziri C, Haouet K and Fingerhut A. Treatment of hydatid cyst of the liver: where is the evidence? World J Surg 2004; 28: 731-736.

Katkhouda N, Fabiani P, Benizri E and Mouiel J. Laser resection of a liver hydatid cyst under videolaparoscopy. Br J Surg 1992; 79: 560-561.

Tuxun T, Zhang JH, Zhao JM, Tai QW, Abudurexti M, Ma HZ and Wen H. World review of laparoscopic treatment of liver cystic

echinococcosis--914 patients. Int J Infect Dis 2014; 24:

Angeliki Vidoura, Mariana Parisidou, Christina Chatedaki and Dimitris Zacharouli (November 15th 2017). Surgical Management of Hydatid Disease, Echinococcosis, Tonay Inceboz, IntechOpen, DOI: 10.5772/intechopen.70136. Available from: https://www.intechopen.com/books/echinococcosis/surgical-management-of-hydatid-disease

T. Tuxun, T. Aji, Q.-W. Tai et al., “Conventional versus laparoscopic surgery for hepatic hydatidosis: a 6-year single-center experience,” Journal of Gastrointestinal Surgery, vol. 18, no. 6, pp. 1155–1160, 2014. View at Publisher • View at Google Scholar • View at Scopus

A. J. Nooghabi, M. M. Bahar, M. Asadi, M. J. Nooghabi, and A. Jangjoo, “Evaluation and comparison of the early outcomes of open and

laparoscopic surgery of liver hydatid cyst,” Surgical Laparoscopy Endoscopy & Percutaneous Techniques, vol. 25, no. 5, pp. 403–407, 2015. View at Publisher • View at Google Scholar • View at Scopus

F. R. Polat, “Hydatid cyst: Open or laparoscopic approach? a retrospective analysis,” Surgical Laparoscopy Endoscopy &

Percutaneous Techniques, vol. 22, no. 3, pp. 264–266, 2012. View at Publisher • View at Google Scholar • View at Scopus

M. Ertem, T. Karahasanoglu, N. Yavuz, and S. Erguney, “Laparoscopically treated liver hydatid cysts,” The Archives of Surgery, vol. 137, no. 10, pp. 1170–1173, 2002. View at Publisher • View at Google Scholar • View at Scopus

K. Acarli, “Controversies in the laparoscopic treatment of hepatic hydatid disease,” HPB (Oxford), vol. 6, no. 4, pp. 213–221, 2004. View at Publisher • View at Google Scholar • View at Scopus

O. Bostanci, K. Kartal, P. Yazici et al., “Laparoscopic versus open surgeryfor hydatid disease of the liver. A single center experience,” Annali Italiani Di

Chirurgia, vol. 87, pp. 237–241, 2016. View at Google Scholar

T. Tuxun, T. Aji, Q.-W. Tai et al., “Conventional versus laparoscopic surgery for hepatic hydatidosis: a 6-year single-center experience,” Journal of Gastrointestinal Surgery, vol. 18, no. 6, pp. 1155–1160, 2014. View at Publisher • View at Google Scholar • View at Scopus

H. Jerraya, M. Khalfallah, S. B. Osman, R. Nouira, and C. Dziri, “Predictive factors of recurrence after surgical treatment for liver hydatid cyst,” Surgical Endoscopy, vol. 29, no. 1, pp. 86–93, 2015. View at Publisher • View at Google Scholar • View at Scopus

M. Kapan, S. Kapan, E. Goksoy, S. Perek, and E. Kol, “Postoperative recurrence in hepatic hydatid disease,” Journal of Gastrointestinal Surgery, vol. 10, no. 5, pp. 734–739, 2006. View at Publisher • View at Google Scholar • View at Scopus

M. Mihmanli, U. O. Idiz, C. Kaya et al., “Current status of diagnosis and treatment of hepatic echinococcosis,” World Journal of Hepatology, vol. 8, no. 28, pp. 1169–1181, 2016. View at Publisher • View at Google Scholar • View at Scopus

G. Khoury, F. Abiad, T. Geagea, G. Nabout, and S. Jabbour, “Laparoscopic treatment of hydatid cysts of the liver and spleen,” Surgical Endoscopy,

vol. 14, no. 3, pp. 243–245, 2000. View at Publisher • View at Google Scholar • View at Scopus

R. Seven, E. Berber, S. Mercan, L. Eminoglu, and D. Budak, “Laparoscopic treatment of hepatic hydatid cysts,” Surgery, vol. 128, no. 1, pp. 36–40, 2000.

View at Publisher • View at Google Scholar • View at Scopus

Zaharie F, Bartos D, Mocan L, Zaharie R, Iancu C, Tomus C. Open or laparoscopic treatment for hydatid disease of the liver? A 10-year single-institution experience. Surg Endosc. 2013;27(6):2110–2116. doi:10.1007/s00464-012-2719-0

Bayrak, M., Altıntas, Y. Current approaches in the surgical treatment of liver hydatid disease: single center experience. BMC Surg 19, 95 (2019) doi:10.1186/s12893-019-0553-1

Kayaalp C, Bostanci B, Yol S, Akoglu M. Distribution of hydatid cysts into the liver with reference to cystobiliary communications and cavity-related complications. Am J Surg. 2003;185:175–9. [PubMed] [Google Scholar]

Alper A, Ariogul O, Emre A, Uras A, Okten A. Choledochoduodenostomy for intrabiliary rupture of hydatid cysts of liver. Br J Surg. 1987;74:243–5. [PuDolay K, Akcakaya A, Soybir G, Cabioglu N, Muslumanoglu M, Igci A, et al. Endoscopic sphincterotomy in the management of postoperative biliary fistula. A complication of hepatic hydatid disease. Surg Endosc. 2002;16:985–8. [PubMed] [Google Scholar]

Kayaalp C, Bzeizi K, Demirbag AE, Akoglu M. Biliary complications after hydatid liver surgery: incidence and risk factors. J Gastrointest Surg. 2002;6:706–12. [PubMed] [Google Scholar]bMed] [Google Scholar]


Refbacks

  • There are currently no refbacks.