The use of a large, transparent cannula, with a beveled tip, for safe laparoscopic management of hydatid cysts of liver.
Aspiration of hydatid cysts and instillation of scolicidal fluid as part of the surgical treatment should be done very carefully to prevent any spillage that might cause anaphylaxis and dissemination of the disease. We describe herein a laparoscopic technique for safe aspiration of hydatid cysts of liver by using an assembled large, transparent trocar sleeve with a beveled tip. The method described allows laparoscopic access even to hydatid cysts that are located under the diaphragm.
Bickel
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Department of Surgery, Western Galilee Hospital, Nahariya, Israel.
Eitan
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A
D000707:Anaphylaxis / Q000517:prevention & control; D002404:Catheterization / Q000295:instrumentation*; D004444:Echinococcosis, Hepatic / Q000473:pathology / Q000601:surgery*; D004867:Equipment Design; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D020706:Laparoscopes; D012462:Saline Solution, Hypertonic / Q000008:administration & dosage / Q000627:therapeutic use; D013396:Suction; D013499:Surface Properties; D007507:Therapeutic Irrigation
D012462:Saline Solution, Hypertonic