title: Minimal access surgery for hydatid cyst disease: laparoscopic, thoracoscopic, and retroperitoneoscopic approach.
abstract: Surgery has remained the mainstay for the treatment of hydatid cyst. The rapid development of laparoscopic techniques has encouraged surgeons to replicate principles of conventional hydatid surgery using a minimally invasive approach. Several reports have confirmed the feasibility of laparoscopic hepatic hydatid surgery. We report the use of a laparoscopic approach for cysts located in the liver, lung, and retroperitoneum. Fifteen patients with hydatid cysts, including one patient with a recurrent cyst, of various organs, including the liver, lung, and retroperitoneum, were operated on laparoscopically. Sixteen hydatid cysts were drained in a total of 15 patients. The mean operative time was 84 +/- 6 minutes (60-125 minutes). The mean duration of the hospital stay was 2.3 days (1-6 days). The mean cyst diameter was 9.2 cm (6.4-13.5 cm). No conversions to open surgery were required. One complication, a trocar-induced bowel perforation, occurred, and there was no mortality. During 3 to 44 months (mean, 27 months) of follow-up, no recurrences developed. Minimal access surgery is a safe, effective, and viable option for the management of selected patients with hydatid cysts in various locations, such as the liver, lung, and retroperitoneum.
authors.affiliation: Department of Minimal Access Surgery, Sir Ganga Ram Hospital, New Delhi, India. pk_chowbey@yahoo.com
authors.forename: P K
authors.initials: PK
authors.lastname: Chowbey
authors.forename: S
authors.initials: S
authors.lastname: Shah
authors.forename: R
authors.initials: R
authors.lastname: Khullar
authors.forename: A
authors.initials: A
authors.lastname: Sharma
authors.forename: V
authors.initials: V
authors.lastname: Soni
authors.forename: M
authors.initials: M
authors.lastname: Baijal
authors.forename: A
authors.initials: A
authors.lastname: Vashistha
authors.forename: A
authors.initials: A
authors.lastname: Dhir
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004443:Echinococcosis / Q000601:surgery*; D004444:Echinococcosis, Hepatic / Q000601:surgery; D004445:Echinococcosis, Pulmonary / Q000601:surgery; D004724:Endoscopy; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D012187:Retroperitoneal Space / Q000473:pathology; D013906:Thoracoscopy; D016896:Treatment Outcome