Laparoscopic management in hydatid disease of liver: a series of 35 cases

Authors

  • Aftab S. Shaikh Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
  • Amarjeet E. Tandur Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
  • Yugal S. Pathrabe Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
  • Dhiraj S. Patil Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
  • Ajay H. Bhandarwar Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
  • Nilofar A. Shaikh Department of Radiology, Mittal Imaging Centre, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20211097

Keywords:

Hydatid disease, Echinococcosis, Laparoscopy, Liver, Omentoplasty

Abstract

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.

 

Author Biographies

Aftab S. Shaikh, Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India

Associate Professor, Department of General Surgery, Grant Government Medical College & Sir JJ Group of Hospitals, Mumbai, Maharashtra, India

Amarjeet E. Tandur, Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India

Assistant Professor, Department of General Surgery, Grant Government Medical College & Sir JJ Group of Hospitals, Mumbai, Maharashtra, India

Yugal S. Pathrabe, Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India

Junior Resident, Department of General Surgery Grant Government Medical College & Sir JJ Group of Hospitals, Mumbai, Maharashtra, India

Dhiraj S. Patil, Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India

Assistant Professor, Department of General Surgery, Grant Government Medical College & Sir JJ Group of Hospitals, Mumbai, Maharashtra, India

Ajay H. Bhandarwar, Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India

Professor and Head, Department of General Surgery, Grant Government Medical College & Sir JJ Group of Hospitals, Mumbai, Maharashtra, India

Nilofar A. Shaikh, Department of Radiology, Mittal Imaging Centre, Mumbai, Maharashtra, India

Consultant Radiologist, Department of Radiology, Mittal Imaging Centre, Mumbai, India

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Published

2021-03-26

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Original Research Articles