Videolaparoscopic treatment of hepatic hydatid cyst.
OBJECTIVE
Unroofing, cystopericystectomy, or cystic evaluation and omentoplasty have been used in videolaparoscopic treatment in hepatic hydatidosis since 1992. Currently it is shown that videolaparoscopic treatment has been carried out successfully in selected cases.


METHODS
Fifteen hepatic hydatid cysts in 12 cases were treated by videolaparoscopic methods. Formerly in the 5 cases, the cysts were aspirated with a needle designed for a 5-mm trocar, leaving a cystic cavity that was tension-free, then scolicidal solution was injected and aspirated. In the last 7 patients an aspirator-grinder apparatus was used. Intraoperative ultrasonography was applied in all patients.


RESULTS
All the cysts were treated by drainage and omentoplasty. In one case cystic cavity infection was diagnosed in the 2nd postoperative month (morbidity rate 8.33%). Another patient died due to cerebral hydatid cyst and multiple organ failure after the postoperative first month (mortality rate 8.33%). Operative mortality was not seen.


CONCLUSIONS
Videolaparoscopic treatments of hepatic hydatid cysts may be carried out successfully in selected cases.
Dervisoglu
Adem
A
Department of General Surgery, Ondokuz Mayis University School of Medicine, Samsun, Turkey. ademd@omu.edu.tr
Polat
Cafer
C
Hokelek
Murat
M
Yetim
Ibrahim
I
Ozkütük
Yasin
Y
Büyükkarabacak
Yalçin
Y
Erzurumlu
Kenan
K
D000328:Adult; D000368:Aged; D000969:Antinematodal Agents / Q000627:therapeutic use; D004322:Drainage; D004444:Echinococcosis, Hepatic / Q000188:drug therapy / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008463:Mebendazole / Q000627:therapeutic use; D008875:Middle Aged; D014741:Video Recording
D000969:Antinematodal Agents; D008463:Mebendazole