Laparoscopic treatment of hepatic hydatiddisease: Şanlıurfa-Turkey experience andearly clinical outcomes

Özet

Introduction: Cyst hydatid disease is still our territory and remains a common health problem for our coun-try. In this clinical retrospective study, cases of liver hydatid cysts treated as laparoscopic were analysed.Materials and Methods: Medical records of 25 patients (16 female, 9 male; mean age 41±3.42; range 20–78) who were treated for hepatic hydatid disease in our clinic between June 2016 and June 2017 were retro-spectively reviewed. Patients were evaluated in terms of age, sex, location of cyst, surgical method applied, duration of hospital stay, postoperative complications and treatment methods for complications.Results: One patient (4%) due to intraperitoneal rupture was operated urgently. In 5 (20%) of the cases, bile leakage were seen in the cyst sponge during the operation and perioperative laparoscopic suture was per-formed. In three of these patients (12%), the leakage was closed without any intervention, two (8%) lasted more than a week and the daily flow was over 150 cc. Endoscopic sphincterotomy was applied to these cases.Conclusion: Nowadays at experienced centers, laparoscopic surgical interventions in selected patients take place in the treatment algorithm as an effective and safe method for the treatment of liver cyst hydatid dis-ease. We think that uncomplicated hydatid cysts do not need specialized laparoscopic instruments in the surgery