A simplified protocol of combined thoracoscopy and laparoscopic excision for large subdiaphragmatic hepatic hydatid cysts

Kumbhar, Uday; Satyam, G; Bhargav, Panchangam Ramakanth; Chigurupati, Venkata Pavan Kumar

doi:10.4103/0972-9941.115384

Cited by 5 publications

(12 citation statements)

References 10 publications

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“…India is not an exception for any zoonotic diseases, including HHC. Hydatid disease can affect any organ but, the liver is the most common site which gets affected [ 3 ]. HHC is the most frequent presentation, ranging from 50% to 93% [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Feasibility of Laparoscopic Closed Cystectomy for Hepatic Hydatid Cyst in Segments VI, VII, and VIII

Shaikh¹,

Kumbhar²,

Bhattarai³

et al. 2021

Cureus

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BackgroundLaparoscopic closed cystectomy of the hepatic hydatid cyst (HHC) is increasingly being performed as it has improved postoperative recovery and reduced morbidity. However, laparoscopic closed cystectomy of HHC is difficult when located in segments VI, VII, and VIII. This study aimed to assess the laparoscopic closed cystectomy feasibility of the HHC when cysts are located at the difficult access site. MethodologySeven patients out of 13 patients of HHC treated laparoscopically in the surgery department from 2014 to 2018 were included. These patients had cysts located in segments VI, VII, and VIII of the liver. All patients received perioperative albendazole, underwent ultrasonography (USG) and contrast-enhanced computed tomography for diagnosis. We noted the demographic character of all the patients, cyst's location, cyst size, type of the cyst, mean operative time, intraoperative and postoperative complications, duration of the hospital stay, and recurrence of the cyst. ResultsAll patients underwent laparoscopic closed cystectomy of HHC. One patient had a conversion to open procedure, and one patient had an additional thoracoscopic approach added. The mean operative time was 191.86 minutes. There were no intraoperative complications. One patient had developed a surgical site infection, and three had a minor bile leak postoperatively. The hospital stay's mean duration was four days, and there was no recurrence in the 21 months follow-up. ConclusionThe laparoscopic closed cystectomy of HHC located at segments VI, VII, and VIII is feasible, safe, and costeffective. A thorough preoperative evaluation, preparation, and radiological planning of the procedure should be done.

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Section: Discussionmentioning

confidence: 99%

Feasibility of Laparoscopic Closed Cystectomy for Hepatic Hydatid Cyst in Segments VI, VII, and VIII

Shaikh¹,

Kumbhar²,

Bhattarai³

et al. 2021

Cureus

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“…In areas where dogs are used as a herd keeper, there is a high risk of hydatid disease. [ 1 2 3 ] This disease has a global spread. Liver, mainly the right lobe, is the most common organ involved in this disease, followed by the lung.…”

Section: Introductionmentioning

confidence: 99%

“…[ 4 ] There are different surgical procedures for liver hydatid cysts. The main methods proposed in this regard are laparotomy, complete exploration, liver mobilization, cyst specification, enclosing the cyst with gas immersed in hypertonic saline, discharge of cyst contents, removing the remaining cavity, sewing the bile leakage site, external drainage with Foley catheter, omentoplasty,[ 1 2 3 5 ] and sometimes advanced laparoscopy is used. However, the procedure might be followed by serious complications such as cyst rupture and cyst spread.…”

Section: Introductionmentioning

confidence: 99%

“…However, the procedure might be followed by serious complications such as cyst rupture and cyst spread. [ 3 6 7 8 ]…”

Section: Introductionmentioning

confidence: 99%

“…However, for large cysts and liver dome cysts or for those in the upper posterior segments (segments 7 and 8), a thoracoabdominal method is usually needed. [ 3 6 ] This method is associated with severe pain and pulmonary complications. [ 3 ] It is a simpler method with fewer complications; it includes thoracotomy and opening the right diaphragm at the exact site of the cyst and performing all the surgical procedures.…”

Section: Introductionmentioning

confidence: 99%

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Liver dome hydatid cyst surgery: Laparotomy or thoracotomy?

Asgary

Aghajanzadeh

Hemmati

et al. 2023

Journal of Family Medicine and Primary Care

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A BSTRACT Background: The liver is the most common organ of the body that is at risk of getting affected by hydatid cyst (75%). All lobes of the liver can be involved with the formation of hydatid cyst, but the right lobe is more involved than the left lobe. The rate of involvement of liver dome and segments 7 and 8 of the right lobe has not been reported so far, but the best treatment for liver hydatid cyst has been found to be surgery. Materials and Methods: In this study, 240 patients with liver hydatid cyst underwent surgery from 2005 to 2017. In this retrospective study, the variables of gender, age, number of liver cysts, involvement of lobe and segments, simultaneous involvement of liver and lung, laparotomy, thoracotomy, the number of patients referred due to the lack of finding cysts in laparotomy, and surgical complications were analyzed. Results: The results showed that the majority of patients were males with age ranging from 8 to 68 years. Right lobe involvement was observed in most of the patients. About 62 patients showed involvement of liver dome and segments 7 and 8. Therefore, 62 patients underwent thoracotomy according to the criteria introduced and the rest of the patients ( n = 178) underwent laparotomy. The results showed that there was a potential for capitonnage in 46 patients in thoracotomy. The pain score was 4–5 according to the VAS criterion. The rate of using analgesic drug did not show significant difference between the two methods. Conclusion: During the manipulation, cysts might be ruptured and give rise to complications such as spread of the disease, shock, and anaphylaxis, which may be followed by legal complaints. Therefore, in order to perform the surgery successfully, a new method along with computed tomography (CT) scan has been introduced in this study, which can be very helpful.

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World review of laparoscopic treatment of liver cystic echinococcosis—914 patients

Tuxun

Zhang

Zhao

et al. 2014

International Journal of Infectious Diseases

101

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A simplified protocol of combined thoracoscopy and laparoscopic excision for large subdiaphragmatic hepatic hydatid cysts

Cited by 5 publications

References 10 publications

Feasibility of Laparoscopic Closed Cystectomy for Hepatic Hydatid Cyst in Segments VI, VII, and VIII

Feasibility of Laparoscopic Closed Cystectomy for Hepatic Hydatid Cyst in Segments VI, VII, and VIII

Liver dome hydatid cyst surgery: Laparotomy or thoracotomy?

World review of laparoscopic treatment of liver cystic echinococcosis—914 patients

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