The Laparoscopic Approach to Abdominal Hydatid Cysts

Bickel, Amitai; Loberant, Norman; Singer-Jordan, Jonathan; Goldfeld, Moshe; Daud, George; Eitan, Arie

doi:10.1001/archsurg.136.7.789

Cited by 76 publications

(44 citation statements)

References 36 publications

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“…In these cases open surgery is considered a first choice option. However, recent reports show encouraging results after laparoscopic treatment [9, 10]. …”

Section: Indication For Surgerymentioning

confidence: 99%

“…There were no deaths and the mean follow-up was 30 months [10]. Bickel et al [9]managed the problem of spillage during laparoscopic treatment by creating an isolated hypobaric system. The authors treated 31 patients with hydatid cysts in the liver by combining laparoscopic pericystectomy with omentoplasty.…”

Section: Role Of Laparoscopymentioning

confidence: 99%

“…In 1 patient conversion to open laparotomy was necessary. In another patient a staged approach (three laparoscopic interventions with several month-long intervals of Albendazol treatment) was used, and in a third patient endoscopic retrograde cholangiopancreatography and papillotomy were performed 3 weeks following hospital discharge and hydatid daughter cysts were extracted via the papilla [9], indicating that perioperative spillage might not have been controlled completely during the initial surgery. While these studies proved the technical feasibility of laparoscopic treatment of hydatid disease, in our opinion it still is not to be considered a standard option.…”

Section: Role Of Laparoscopymentioning

confidence: 99%

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Role of Laparoscopy in Hepatic Cyst Surgery

Gloor

Candinas³

2002

Dig Surg

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Background: Hepatic cysts are detected incidentally in 2.5–5% of the population. Only about 15% of such cysts are symptomatic. Since laparoscopic deroofing for liver cysts was first described in 1991 there have been a number of reports of successful laparoscopic management of hepatic cysts, including the laparoscopic management of complex and parasitic cysts. Methods: A systematic review of English-language articles on the subject appearing in journals through May 2002 was conducted using the Medline database. Results: Only a minority of cystic liver lesions need treatment, and the therapeutic approach is guided by the type of cyst. Laparoscopic deroofing (combined with omentoplasty and/or oversewing) of uncomplicated liver cysts is associated with a recurrence rate of 10–25%, with less morbidity and mortality as compared to open surgery. On the other hand, treatment of complex liver cysts and hydatid cysts by laparoscopy is not considered a standard approach. Conclusion: The laparoscopic approach in uncomplicated but symptomatic liver cysts is effective, with low morbidity and mortality. Additional omentoplasty or oversewing appears to reduce the recurrence rate.

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“…In these cases open surgery is considered a first choice option. However, recent reports show encouraging results after laparoscopic treatment [9, 10]. …”

Section: Indication For Surgerymentioning

confidence: 99%

Section: Role Of Laparoscopymentioning

confidence: 99%

Section: Role Of Laparoscopymentioning

confidence: 99%

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Role of Laparoscopy in Hepatic Cyst Surgery

Gloor

Candinas³

2002

Dig Surg

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“…Hasta el momento hay 16 trabajos publicados [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] con casuísticas superiores a los 20 casos (Tabla 10), el resto de las publicaciones presenta series menores a esta cifra. El total de pacientes alcanza a los 791, y en base a estas cifras se evalúan nuestros resultados.…”

Section: Discussionunclassified

Tratamiento laparoscópico del quiste hidatídico hepático

Cruces

et al. 2011

Rev Chil Cir

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Laparoscopic treatment of liver hydatid cystsBackground: Laparoscopic surgery is emerging as a useful alternative for the treatment of liver hydatid cysts. Aim: To report technical data, management protocols, costs and results of laparoscopic management of liver hydatid cysts. Material and Methods: Prospective analysis of 31 patients aged 5 to 73 years (17 females), with 40 cysts, operated between 2006 and 2009. All patients received albendazol for 15 days prior to surgery and for 2 months afterwards. Surgical technique consisted in the evacuation of parasite membrane, partial excision of prominent pericystic membrane and suture of biliary communications. Results: Sixty nine percent of cysts were uni-vesicular, 74% were unique and 68% were located in the right lobe. Surgical time was 80 min. Two patients were converted to open surgery and 24% had postoperative complications. Mean hospital stay was six days. Patients were followed for 28 months and in 4% the cyst relapsed. No patient died. The mean cost of laparoscopic treatment was US$ 2.107. Conclusions: Laparoscopic technique is a useful surgical alternative for the treatment of liver hydatid cysts

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“…The treatment of choice is still total cystopericystectomy, which reduces the frequency of intraoperative anaphylactic reactions and relapses [5]. Laparoscopic partial cystectomy or PAIR lead to results similar to those of open surgical and percutaneous techniques: anaphylactic reactions in 3% of cases and relapse in 3-10% of patients after a follow-up of 17 or 18 months [4,11,24]. Manterola et al [21] published a series of eight cases of laparoscopic total cystopericystectomy, with anaphylactic reactions and relapse in none of the patients after a mean follow-up of 30 months.…”

Section: Discussionmentioning

confidence: 99%