Cirugia espanola · 2009
[Laparoscopic treatment of hepatic hydatid cysts: techniques and post-operative complications].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Baltar Boilève Javier, Baamonde De La Torre Ivan, Concheiro Coello Pablo, García Vallejo Luis A, Brenlla González Juan, Escudero Pérez Bernardo, Solar Núñez Juan José, Rivera Losada Abelardo, Folgar Villasenín Luis
Аннотация
INTRODUCTION: We evaluate our experience in the surgical laparoscopic treatment of hepatic hydatid cysts with the same criteria that we use in open surgery.
MATERIAL AND METHODS: A retrospective study of 8 operated patients and their intra- and postoperative complications.
RESULTS: We performed the scheduled surgery on 7 patients; bleeding was the reason for conversion to open surgery in the remaining one. We made 4 complete peri-cystectomies, 3 de-roofing and 1 hepatic resection. Two patients had postoperative bile leaks: the first one had an external leak that needed an endoscopic sphincterotomy and the other developed an abscess that needed reintervention for drainage. This patient also had a right hepatic vein thrombosis that disappeared spontaneously. Finally, 3 patients had hypernatremia without clinical symptoms.
CONCLUSIONS: Many of the open surgery techniques for hepatic hydatid cysts can be performed laparoscopically, without any specific instruments. Our complications with laparoscopic treatment of hepatic hydatid cysts were similar to those of open surgery.
MATERIAL AND METHODS: A retrospective study of 8 operated patients and their intra- and postoperative complications.
RESULTS: We performed the scheduled surgery on 7 patients; bleeding was the reason for conversion to open surgery in the remaining one. We made 4 complete peri-cystectomies, 3 de-roofing and 1 hepatic resection. Two patients had postoperative bile leaks: the first one had an external leak that needed an endoscopic sphincterotomy and the other developed an abscess that needed reintervention for drainage. This patient also had a right hepatic vein thrombosis that disappeared spontaneously. Finally, 3 patients had hypernatremia without clinical symptoms.
CONCLUSIONS: Many of the open surgery techniques for hepatic hydatid cysts can be performed laparoscopically, without any specific instruments. Our complications with laparoscopic treatment of hepatic hydatid cysts were similar to those of open surgery.