Le kyste hydatique du foie : un traitement radical ou conservateur ?

Hydatid Cyst of the Liver: About a Case at the Digestive and General Surgery Department of the University Hospital of Bouaké (Côte d’Ivoire)

“…Therapeutically, recent years have been marked by the development of an alternative to traditional surgery, namely laparoscopic surgery and interventional radiology. Despite the contribution of medical therapy, percutaneous and endoscopic treatments, the treatment of the hydatid cyst of the liver is still essentially surgical [8] [9] [21] it can be radical (settled hepatectomies and total pericystectomy) or conservative (partial pericysttectomy: resection of the protruding dome of the cyst). Conservative surgical treatment has significant morbidity.…”

“…But radical treatment is not feasible in all patients and requires expertise in liver surgery. The classic route of approach is a right subcostal laparotomy that can be widened to the left for cysts of the left liver [2] [3] [21]. Despite the advantages of the laparoscopic route which are a shorter duration of hospitalization, a lower incidence of parietal complications and less postoperative pain, the problems of this route remain the difficulty of access and exposure of posterior cysts and especially leaks during aspiration of the contents of the hydatid cyst [3].…”