title: Laparoscopic management of hepatic hydatid disease.
abstract: BACKGROUND
  Hydatid disease is an endemic condition in several parts of the world. Owing to ease of travel, even surgeons in nonendemic areas encounter the disease and should be aware of its optimum treatment. A safe, new method of laparoscopic management of hepatic hydatid disease is described along with a review of the relevant literature.
  
  
  METHODS
  Sixty-six cases of hepatic hydatid disease were operated on laparoscopically using the Palanivelu Hydatid System. The special trocar-cannula system used and the technique of operation are described.
  
  
  RESULTS
  The majority of the patients presented with pain. Most of the patients had only a single cyst. The right lobe of the liver was most commonly involved. Cysts were bilateral in 4 patients. In 83.3%, simply evacuation of the hydatid cyst by the Palanivelu Hydatid System was done. In 13.7%, this was followed by a left lobectomy, as the cysts were large occupying almost the entire left lobe of the liver. The remnant cavity was dealt with by omentoplasty. The average follow-up period is 5.8 years. There have been no recurrences to date.
  
  
  CONCLUSIONS
  We recommend Palanivelu Hydatid System for management of hepatic hydatid disease. We have found its efficacy to be optimum for preventing spillage, evacuating hydatid cyst contents, performing transcystic fenestration, and for dealing with cyst-biliary communications.
authors.affiliation: Gem Hospital, Coimbatore, Tamilnadu, India.
authors.forename: C
authors.initials: C
authors.lastname: Palanivelu
authors.forename: Kalpesh
authors.initials: K
authors.lastname: Jani
authors.forename: Vijaykumar
authors.initials: V
authors.lastname: Malladi
authors.forename: R
authors.initials: R
authors.lastname: Senthilkumar
authors.forename: P S
authors.initials: PS
authors.lastname: Rajan
authors.forename: K
authors.initials: K
authors.lastname: Sendhilkumar
authors.forename: R
authors.initials: R
authors.lastname: Parthasarthi
authors.forename: Alfie
authors.initials: A
authors.lastname: Kavalakat
mesh_terms: D000293:Adolescent; D000328:Adult; D004444:Echinococcosis, Hepatic / Q000601:surgery*; D005260:Female; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged