Laparoscopic management in hydatid disease of liver: a series of 35 cases
Keywords:Hydatid disease, Echinococcosis, Laparoscopy, Liver, Omentoplasty
Background: The purpose of this study is to analyse the sociodemographic factors & clinical features of hydatid disease of liver and to emphasize on the safety, efficacy and the role of laparoscopy in its management in the present scenario.
Methods: A prospective observational study was done for 35 patients who were diagnosed with and later underwent surgical intervention laparoscopically for hydatid disease of liver over a duration of 3 years from January 2017 to December 2019. Diagnosis was based on the history, clinical examination, ultrasonography of abdomen (USG) and contrast enhanced computed tomography scan of abdomen (CECT).
Results: A slight female preponderance with most cases in the 4th decade of life and belonging to rural areas and low socio-economic status. A single cyst in the right lobe of the liver was most common lesion. The most common surgery performed was laparoscopic de-roofing of the cyst with omentoplasty. The most common complication was intra-operative spillage of cyst contents followed by post-operative biliary leak.
Conclusions: In the present era laparoscopic surgery is safe, efficacious and plays a crucial role in the management of hepatic hydatid disease with its proven benefits over the conventional surgeries including less morbidity and mortality and reduced rate of recurrence.
Katkhouda N, Fabiani P, Benizri E, Mouiel J. Laser resection of a liver hydatid cyst under videolaparoscopy. Br J Surg. 1992;79(6):560-1.
Bickel A, Loberant N, Shtamler B. Laparoscopic Treatment of Hydatid Cyst of the Liver: Initial Experience with a Small Series of Patients. J Laparoendosc Surg. 1994;4(2):127-33.
Khoury G, Jabbour-Khoury S, Soueidi A, Nabbout G, Baraka A. Anaphylactic shock complicating laparoscopic treatment of hydatid cysts of the liver. Surg Endosc. 1998;12(5):452-4.
Yaghan R, Heis H, Bani-Hani K, Matalka I, Shatanawi N, Gharaibeh K, et al. Is fear of anaphylactic shock discouraging surgeons from more widely adopting percutaneous and laparoscopic techniques in the treatment of liver hydatid cyst? Am J Surg. 2004;187(4):533-7.
Wani R. Socioeconomic status scales-modified Kuppuswamy and Udai Pareekh’s scale updated for 2019. J Fam Med Prim Care. 2019;8(6):1846.
Gharbi HA, Hassine W, Brauner MW, Dupuch K. Ultrasound examination of the hydatic liver. Radiology. 1981;139(2):459-63.
Samala DS, Gedam MC, Gajbhiye R. Laparoscopic Management of Hydatid Cyst of Liver with Palanivelu Hydatid System over a Period of 3 Years: A Case Series of 32 Patients. Indian J Surg. 2015;77(3):918-22.
Rooh-ul-Muqim, Kamran K, Khalil J, Gul T, Farid S. Laparoscopic treatment of hepatic hydatid cyst. J Col Physic Surg Pakistan. 2011;21(8):468-71
Darbari A, Jauhari A, Shrivastava A. Management of hepatic hydatidosis by open versus laparoscopic surgery. Int J Res Med Sci Darbari A al Int J Res Med Sci. 2017;2(4):1371-7.
1Avgerinos ED, Pavlakis E, Stathoulopoulos A, Manoukas E, Skarpas G, Tsatsoulis P. Clinical presentations and surgical management of liver hydatidosis: Our 20-year experience. HPB. 2006;8(3):189-93.
Chautems R, Buhler L, Gold B, Chilcott M, Morel P, Mentha G. Long Term Results after Complete or Incom-Plete Surgical Resection of Liver Hydatid Disease. 2003.
Palanivelu C, Jani K, Malladi V, Senthilkumar R, Rajan PS, Sendhilkumar K, et al. Laparoscopic management of hepatic hydatid disease. J Soc Laparosc Robot Surg. 2006;10(1):56-62.
Yagci G, Ustunsoz B, Kaymakcioglu N, Bozlar U, Gorgulu S, Simsek A, et al. Results of surgical, laparoscopic, and percutaneous treatment for hydatid disease of the liver: 10 Years’ experience with 355 patients. World J Surg. 2005;29(12):1670-9.
Pedrosa I, Saíz A, Arrazola J, Ferreirós J, Pedrosa CS. Hydatid disease: Radiologic and pathologic features and complications. Radiographics. 2000;20(3):795-817.
Arif SH, Shams-ul-Bari, Wani NA, Zargar SA, Wani MA, Tabassum R, et al. Albendazole as an adjuvant to the standard surgical management of hydatid cyst liver. Int J Surg. 2008;6(6):448-51.
Bildik N, Çevik A, Altintaş M, Ekinci H, Canberk M, Gülmen M. Efficacy of Preoperative Albendazole Use According to Months in Hydatid Cyst of the Liver. J Clin Gastroenterol. 2007;41(3):312-6.
1Bickel A, Daud G, Urbach D, Lefler E, Barasch EF, Eitan A. Laparoscopic approach to hydatid liver cysts: Is it logical? Physical, experimental, and practical aspects. Surg Endosc. 1998;12(8):1073-7.
Besim H, Karayalcin K, Hamamci O, Gungor C, Korkmaz A, Stubbs RS. Scolicidal agents in hydatid cyst surgery. HPB Surg. 1998;10(6):347-51.
Al-Shareef Z, Hamour OA, Al-Shlash S, Ahmed I, Mohamed AA. Laparoscopic treatment of hepatic hydatid cysts with a liposuction device. J Soc Laparosc Robot Sur. 2002;6(4):327-30.
Bickel A, Loberant N, Singer-Jordan J, Goldfeld M, Daud G, Eitan A. The laparoscopic approach to abdominal hydatid cysts: A prospective nonselective study using the isolated hypobaric technique. Arch Surg. 2001;136(7):789-95.
Zengin K, Unal E, Karabicak I, Apaydin B, Taskin M. A New Instrument, the “Perfore-Aspirator” for Laparoscopic Treatment of Hydatid Cysts of the Liver. Surg Laparosc Endosc Percutan Tech. 2003;13(2):80-2.
Saǧlam A. Laparoscopic treatment of liver hydatid cysts. Surg Laparosc Endosc Percutaneous Tech. 1996;6(1):16-21.
Ertem M, Karahasanoglu T, Yavuz N, Erguney S. Laparoscopically treated liver hydatid cysts. Arch Surg. 2002;137(10):1170-3.
Manterola C, Fernández O, Muñoz S. Laparoscopic pericystectomy for liver hydatid cysts: Description of results observed during a long follow-up period. Surg Endosc Other Interv Tech. 2002;16(3):521-4.
Altinli E, Saribeyoglu K, Pekmezci S, Uras C, Tasçi H, Akçal T. An effective omentoplasty technique in laparoscopic surgery for hydatid disease of the liver. J Soc Laparosc Robot Sur. 2002;6(4):323-6.
Dziri C, Paquet JC, Hay JM, Fingerhut A, Msika S, Zeitoun G, et al. Omentoplasty in the prevention of deep abdominal complications after surgery for hydatid disease of the liver: A multicenter, prospective, randomized trial. J Am Coll Surg. 1999;188(3):281-9.
Mansy W, Mohamed M, Saber S. Outcomes of radical surgical management in liver hydatid cysts: 7 years center experience. Mini-invasive Surg. 2018;2(10):36.
Misra MC, Khan RN, Bansal VK, Jindal V, Kumar S, Noba AL, et al. Laparoscopic Pericystectomy for Hydatid Cyst of the Liver. Surg Laparosc Endosc Percutan Tech. 2010;20(1):24-6.
Tuxun T, Zhang J hui, Zhao J ming, Tai Q wen, Abudurexti M, Ma H Zhang, et al. World review of laparoscopic treatment of liver cystic echinococcosis-914 patients. Int J Infect Dis. 2014;24:43-50.
Gokhan A, Ali K, Bora K, Soykan A, Mustafa K, Emin G, et al. Management of Postoperative Biliary Fistula After Hydatid Liver Surgery: Are There Any Differences between Localizations? J Res Development. 2016;4(1):1-5
Zeybek N, Dede H, Balci D, Kagan CA, Ozerhan IH, Peker S, et al. Biliary fistula after treatment for hydatid disease of the liver: When to intervene. World J Gastroenterol. 2013;19(3):355-61.
Adas G, Arikan S, Gurbuz E, Karahan S, Eryasar B, Karatepe O, et al. Comparison of Endoscopic Therapeutic Modalities for Postoperative Biliary Fistula of Liver Hydatid Cyst. Surg Laparosc Endosc Percutan Tech. 2010;20(4):223-7.
Alper A, Ariogul O, Emre A, Uras A, Ökten A. Choledochoduodenostomy for intrabiliary rupture of hydatid cysts of liver. Br J Surg. 1987;74(4):243-5.
Chen W, Xusheng L. Laparoscopic surgical techniques in patients with hepatic hydatid cyst. Am J Surg. 2007;194(2):243-7.
Prousalidis J, Kosmidis C, Anthimidis G, Kapoutzis K, Karamanlis E, Fachantidis E. Postoperative recurrence of cystic hydatidosis. Can J Surg. 2012;55(1):15-20.
Khoury G, Abiad F, Geagea T, Nabout G, Jabbour S. Laparoscopic treatment of hydatid cysts of the liver and spleen. Surg Endosc. 2000;14(3):243-5.