[Laparoscopic treatment of hepatic hydatid cysts: techniques and post-operative complications].
BACKGROUND
We evaluate our experience in the surgical laparoscopic treatment of hepatic hydatid cysts with the same criteria that we use in open surgery.


METHODS
A retrospective study of 8 operated patients and their intra- and postoperative complications.


RESULTS
We performed the scheduled surgery on 7 patients; bleeding was the reason for conversion to open surgery in the remaining one. We made 4 complete peri-cystectomies, 3 de-roofing and 1 hepatic resection. Two patients had postoperative bile leaks: the first one had an external leak that needed an endoscopic sphincterotomy and the other developed an abscess that needed reintervention for drainage. This patient also had a right hepatic vein thrombosis that disappeared spontaneously. Finally, 3 patients had hypernatremia without clinical symptoms.


CONCLUSIONS
Many of the open surgery techniques for hepatic hydatid cysts can be performed laparoscopically, without any specific instruments. Our complications with laparoscopic treatment of hepatic hydatid cysts were similar to those of open surgery.
Baltar Boilève
Javier
J
Servicio de Cirugía General y del Aparato Digestivo, Hospital de Conxo, Complexo Hospitalario Universitario de Santiago, Santiago de Compostela, España. javier.baltar.boileve@sergas.es
Baamonde De La Torre
Ivan
I
Concheiro Coello
Pablo
P
García Vallejo
Luis A
LA
Brenlla González
Juan
J
Escudero Pérez
Bernardo
B
Solar Núñez
Juan José
JJ
Rivera Losada
Abelardo
A
Folgar Villasenín
Luis
L
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004444:Echinococcosis, Hepatic / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies