title: Laparoscopic surgery for large hydatide liver cyst after two previous laparotomies.
abstract: Laparoscopic surgery for hepatic echinococcosis is a technically difficult and demanding surgical procedure even for the most experienced abdominal surgeon. Surgery is performed after the conservative treatment with albendazole for 28 days. We report a case of laparoscopic partial pericystectomy with biliostasis and omentoplasty in a patient with two previously open surgeries (laparotomies)--right subcostal laparotomy for acute inflammation of the gallbladder and right pararectal laparotomy for perforated gangrenous appendix. The patient underwent extensive laparoscopic adhesiolysis due to pronounced intra-abdominal adhesions to gain access to a large hydatid cyst with the diameter of 11 cm. Laparoscopic surgery is much less traumatic to the patient with a better cosmetic effect.
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Busić
authors.forename: Marijan
authors.initials: M
authors.lastname: Kolovrat
authors.forename: Mario
authors.initials: M
authors.lastname: Kopljar
authors.forename: Drazen
authors.initials: D
authors.lastname: Servis
authors.forename: Vlatka
authors.initials: V
authors.lastname: Cavka
authors.forename: Leonardo
authors.initials: L
authors.lastname: Patrlj
authors.forename: Njegoslav
authors.initials: N
authors.lastname: Busić
authors.forename: Mislav
authors.initials: M
authors.lastname: Cavka
authors.forename: Igor
authors.initials: I
authors.lastname: Nikolić
mesh_terms: D004444:Echinococcosis, Hepatic / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D016896:Treatment Outcome