title: Is fear of anaphylactic shock discouraging surgeons from more widely adopting percutaneous and laparoscopic techniques in the treatment of liver hydatid cyst?
abstract: BACKGROUND
  Sources of reports about laparoscopic and percutaneous treatment of liver hydatid cysts are limited to just a few countries. To address the reason behind this, we carried out a survey of 30 surgeons in northern Jordan.
  
  
  METHODS
  A questionnaire was distributed to collect data regarding the surgical technique preferred by each surgeon. Further information was collected from those not adopting minimal-access techniques to determine their reasons for not doing so.
  
  
  RESULTS
  Only 3 surgeons (10%) considered laparoscopy as the first line of treatment. Of the 27 surgeons who did not consider percutaneous or laparoscopic treatment, fear of anaphylaxis and/or dissemination was the main reason given by 21 surgeons (78%) for not using minimal access techniques.
  
  
  CONCLUSIONS
  The seemingly exaggerated traditional fear of anaphylaxis seems to discourage surgeons from more widely adopting minimal access techniques for the treatment of hydatid cyst.
authors.affiliation: Department of Surgery, Jordan University of Science and Technology, P.O. Box 3030, Irbid, Jordan. lamees32@yahoo.com
authors.forename: Rami
authors.initials: R
authors.lastname: Yaghan
authors.forename: Hussein
authors.initials: H
authors.lastname: Heis
authors.forename: Kamal
authors.initials: K
authors.lastname: Bani-Hani
authors.forename: Ismail
authors.initials: I
authors.lastname: Matalka
authors.forename: Nawaf
authors.initials: N
authors.lastname: Shatanawi
authors.forename: Kamal
authors.initials: K
authors.lastname: Gharaibeh
authors.forename: Amjad
authors.initials: A
authors.lastname: Bani-Hani
mesh_terms: D000328:Adult; D000707:Anaphylaxis / Q000209:etiology*; D004444:Echinococcosis, Hepatic / Q000601:surgery*; D013502:General Surgery; D006801:Humans; D010535:Laparoscopy / Q000706:statistics & numerical data*; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D010818:Practice Patterns, Physicians'; D011795:Surveys and Questionnaires