title: Echinococcus of the liver treated with laparoscopic subadventitial pericystectomy.
abstract: OBJECTIVE
  Because of the new radical procedure, subadventitial pericystectomy, has succeed in treatment for the liver hydatid cysts. The aim of this report is to describe the technical details of our laparoscopic method and report the initial results.
  
  
  METHODS
  Six patients were considered for laparoscopic subadventitial pericystectomy treatment from March 2009 and May 2011.
  
  
  RESULTS
  A laparoscopic surgical technique was used in all cases. The total subadventitial pericystectomy was successfully performed in 2 patients (33.3%) and subtotal subadventitial pericystectomy was performed in 4 patients (66.7%). The mean operating time was 158.3 minutes (range, 90 to 270 min). Complications were observed in 2 patients postoperatively. Postoperatively the mean length of hospital stay was 6.3 days (range, 4 to 10 d). No recurrence was found after laparoscopic surgery in all the patients. The mean follow-up was 15.6 months (range, 6 to 25 mo).
  
  
  CONCLUSIONS
  Laparoscopy subadventitial pericystectomy is effective and reliable in selected patients. It can be a useful alternative for treating hepatic hydatid disease.
authors.affiliation: The Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
authors.forename: Hailong
authors.initials: H
authors.lastname: Lv
authors.forename: Yufeng
authors.initials: Y
authors.lastname: Jiang
authors.forename: Xinyu
authors.initials: X
authors.lastname: Peng
authors.forename: Shijie
authors.initials: S
authors.lastname: Zhang
authors.forename: Xiangwei
authors.initials: X
authors.lastname: Wu
authors.forename: Hongqiang
authors.initials: H
authors.lastname: Yang
authors.forename: Hong
authors.initials: H
authors.lastname: Sun
mesh_terms: D000328:Adult; D015331:Cohort Studies; D004444:Echinococcosis, Hepatic / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008099:Liver / Q000469:parasitology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler / Q000379:methods*