Publication:

Management of hepatic hydatidosis by open versus laparoscopic surgery

Background Aim of current study was to compare between laparoscopic versus open management of the hydatid cyst of liver regarding complication rate, post-operative recovery course with different modality of treatment and hospital stay. This study shows our results of surgical treatment of liver hydatid cysts during a 2.5 years period.

Methods A prospective study of 30 patients operated on in a 2.5 year period (April 2011 to October 2013) in department of general surgery of J.N. medical college, Sawangi (Meghe), Wardha, Maharashtra, with hepatic hydatid cyst. All patients were preoperatively treated with albendazole. 15 patients were tackled by laparoscopic technique (using Palanivelu hydatid system) and rest 15 underwent Open procedure as surgical approach.

Results Patients operated by laparoscopic surgery shown a better post-operative recovery course, required less analgesia, mobilized and started on oral feed early, intra-abdominal drain was removed at a much earlier period as compared to open group patient, this not only reduced morbidity but also because of this patient could be discharged earlier.

Conclusion Minimal invasive management, using Palanivelu hydatid system for aspiration and laparoscopic intervention, is an alternative to open surgery because of its ability to prevent spillage and thus minimize recurrences. It is better and safe to use laparoscopy in treatment of hydatid liver with less morbidity, mortality and recurrence rate in comparison with open technique.