Publication:

A case series of laproscopic management of hydatid cyst of liver

Background Hydatid cyst is zoonosis caused due to Echinococcus species mainly, Echinococcus granulosus and Echinococcus multilocularis. It was first described by Hippocrates as “liver full of water”. In developing countries like India, Iran, China and Mediterranean countries it is still remains a major problem. It can involve any organ and can mimic almost any pathological condition.

Methods The present study was carried out from January 2014 to December 2015. Total 20 cases of liver hydatid operated laproscopically studied prospectively. Omentoplasty with external drainage was done as sole operative modality. Postoperative follow up was done on 2nd week, 1, 3 and 6 months.

Results Among the observed patients most common age group was 31-40 years (40%), with male predominance (60%). Abdominal pain was most presenting symptom (65%). Right lobe involved involved in 75% patients. Cysts are usually single (90%). Bleeding and contamination of peritoneal cavity with scolices was main intra-operative complication (5% each). Mean operative time was 99.95 minutes. In post-operative period biliary leak was major complication (10%). Cosmetic results were good with barely visible scar (90%).

Conclusions Surgery is the gold standard treatment for hydatid liver and laproscopic technique is gaining more and more importance with advantage of being minimal invasive and less complications with better patient satisfaction.