Journal of pediatric surgery · 2012
Laparoscopic port-in-cyst technique for retrieval of hepatic hydatid and review of other techniques used in literature.
Оценочное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Kanojia Ravi Prakash
Аннотация
AIM: To describe a technique used for removal of hepatic hydatid cyst laparoscopically.
PATIENTS AND METHODS: The removal of hydatid membranes was achieved by inserting a 10-mm port right above the cyst. The port is made to enter the cyst, and the membranes are removed without any contact to outer surface, thus avoiding peritoneal spillage.
RESULTS: The technique was used in 6 patients. Mean age was 3.5 years, range being. 2.5 to 6 years. Three patients had solitary cyst in the right lobe, and 2, in left lobe. One had multiple cyst involving both right and left lobes. Follow-up is of mean 6 months. There is no recurrence or evidence of new cyst owing to peritoneal seeding.
CONCLUSIONS: Safe extraction of hydatid membranes during laparoscopy can be done by directly placing the port within the decompressed cyst and removing the membranes with minimal use of suction. The port-in-cyst technique excludes any possibility of peritoneal seeding, during hydatid removal which may lead to metachronous recurrence in the peritoneum.
PATIENTS AND METHODS: The removal of hydatid membranes was achieved by inserting a 10-mm port right above the cyst. The port is made to enter the cyst, and the membranes are removed without any contact to outer surface, thus avoiding peritoneal spillage.
RESULTS: The technique was used in 6 patients. Mean age was 3.5 years, range being. 2.5 to 6 years. Three patients had solitary cyst in the right lobe, and 2, in left lobe. One had multiple cyst involving both right and left lobes. Follow-up is of mean 6 months. There is no recurrence or evidence of new cyst owing to peritoneal seeding.
CONCLUSIONS: Safe extraction of hydatid membranes during laparoscopy can be done by directly placing the port within the decompressed cyst and removing the membranes with minimal use of suction. The port-in-cyst technique excludes any possibility of peritoneal seeding, during hydatid removal which may lead to metachronous recurrence in the peritoneum.