Is fear of anaphylactic shock discouraging surgeons from more widely adopting percutaneous and laparoscopic techniques in the treatment of liver hydatid cyst?

Yaghan, Rami J.; Heis, Hussein A.; Bani-Hani, Kamal E.; Matalka, Ismail; Shatanawi, Nawaf J; Gharaibeh, Kamal I.; Hani, Amjad Bani

doi:10.1016/j.amjsurg.2003.12.046

Cited by 48 publications

(38 citation statements)

References 18 publications

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“…The first report of laparoscopic treatment of hydatid cyst of the liver was published by Bickel A et al (1994) [8] and was followed soon thereafter by the first report of anaphylactic shock complicating laparoscopic treatment of hydatid cysts of the liver by Khoury G et al (1998) [9]. In fact, an exaggerated fear of anaphylaxis seemed to discourage surgeons from more widely adopting minimal access techniques for the treatment of hydatid cysts [10]. Laparoscopy is ideal in patients with superficial and fluidfilled cysts [11].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Management of Hydatid Cyst of Liver with Palanivelu Hydatid System over a Period of 3 Years: A Case Series of 32 Patients

2014

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The aim of this article is to evaluate the role and safety of laparoscopic management of hydatid disease of liver using Palanivelu hydatid system (PHS) 1 with initial results. A prospective study of hepatic hydatid cyst underwent laparoscopic management using PHS, during the period from June 2008 to October 2010, in department of general surgery in a tertiary care institute. Selective patients were included in our study. Preoperatively 2 weeks and post operatively 6 weeks of Albendazole were given. All patients underwent surgery under general anesthesia. Hydatid cyst evacuation and omentoplasty were done with PHS system to prevent spillage. Cyst was irrigated with 2 % savlon. Drainage tube was kept near the cyst. There were 32 patients with 35 liver hydatid cysts operated. The mean operative time was 93.78 (70-180) min. Intraoperative complications were noted in two patients (6.2 %). Conversion was required in one patient (3.1 %). The mean duration of hospital stay was 3-10 days with an average of 5 days. There was no recurrence in mean follow-up of 3 years. There was no mortality with good subjective and objective cosmetic results. The laparoscopic cyst evacuation and omentoplasty using PHS are feasible and safe for treating the hydatid cyst of liver in selected patients. It aids early recovery with good cosmetic results.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Management of Hydatid Cyst of Liver with Palanivelu Hydatid System over a Period of 3 Years: A Case Series of 32 Patients

2014

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“…Chances of spillage and ensuing anaphylaxis reaction had discouraged the surgeons to practice laparoscopic surgery in management of liver hydatid cysts. 4 There are so many instruments described for laparoscopic surgery of liver hydatid cysts to evacuate the daughter cysts, laminated membranes and other contents from the cyst cavity; e.g. a perforatorgrinder-aspirator apparatus described by Saglam and perforeaspirator designed by Zengin et al 7,8 But, it is the Palanivelu hydatid system, which has the advantage of removing all the cyst contents without the fear of spillage as it gives a total contamination free field throughout the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…However, spillage and ensuing anaphylaxis are factors of concern in laparoscopic procedure for liver hydatid cysts. 4 However, specifically designed instruments like Palanivelu Hydatid System (PHS) helps preventing spillage of the cyst content into the peritoneal cavity; thus preventing the anaphylactic reactions. 5 We present a case of a large hydatid cyst of liver that was successfully managed laparoscopically using PHS.…”

Section: Introductionmentioning

confidence: 99%