Laparoscopically Treated Liver Hydatid Cysts

Abstract

HYPOTHESIS: Laparoscopy is effective and reliable in treating hepatic hydatid disease. DESIGN: Case series of patients with hepatic hydatid disease who underwent laparoscopic treatment within 7 years. SETTING: Department of General Surgery, Cerrahpasa Medical School, University of Istanbul, Istanbul, Turkey. PATIENTS: Forty-eight patients with hydatid disease who met our criteria for laparoscopic surgery and were aged 17 years or older. INTERVENTIONS: Cystotomy and partial cystectomy with drainage were performed in 33 patients. Omentoplasty was simultaneously performed in 15 patients to obliterate the cystic cavity. MAIN OUTCOME MEASURES: Clinicopathologic features, morbidity, mortality, operative time, length of hospital stay, conversion to laparotomy, and recurrences were reviewed retrospectively. RESULTS: The mean operative time was 82 minutes (range, 45-170 minutes). The conversion rate to open surgery was 4%. The mean postoperative length of hospital stay was 4.2 days. Morbidity was 6% (3 patients). There was no mortality. The mean follow-up was 34.2 months. No recurrences were observed during this period. CONCLUSIONS: Laparoscopic hepatic hydatid surgery is a safe and effective method in selected patients. Further studies should be encouraged in this field because there is no universally accepted standard technique.