Safety and Feasibilty of Laparoscopic Surgery in the Management of Hepatic Hydatid Cysts: Long Term Results from an Endemic Area
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Background: Traditionally open surgical techniques have been used for the management of hepatic hydatid disease. The aim of our study was to evaluate the feasibility of laparoscopic surgery and its safety in its management with special reference to perioperative and postoperative complications and cyst recurrence. Methods: Ours was a prospective cohort study of 136 patients of hepatic hydatid disease managed by laparoscopy over a period of 6 years with a minimum follow-up of 5 years conducted in a tertiary care hospital of an endemic area. Results: The mean operative time was 86 minutes. We encountered spillage in 16 patients with one patient developing anaphylaxis. We needed conversion in one patient. Biliary leaks occurred in 13 patients with two eventually needing endoscopic sphincterotomy. One patient developed infection in the residual cavity and one patient had a recurrence. Conclusion: Laparoscopic management is a feasible and safe approach but should be used in carefully selected patients.
Authors and Affiliations
Arshad Rashid MS FNB(MAS) FIAGES, Ajaz Ahmad Wani MS, Asim Rafiq Laharwal MS FIAGES
Keywords
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- EP ID EP572359
- DOI 10.9790/0853-1804051417.
- Views 83
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