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OUR EXPERIENCE WITH LAPAROSCOPIC PERICYSTECTOMY IN LIVER HYDATID DISEASE

Year 2022, Volume: 29 Issue: 2, 223 - 228, 30.06.2022
https://doi.org/10.17343/sdutfd.1052285

Abstract

Objective
The aim of the study is to retrospectively evaluate
hydatid cyst cases in which we underwent laparoscopic
surgical treatment in terms of age, gender,
cyst location, cyst size and type, treatment applied,
duration of operation, early and late complications,
and recurrence, and compare these findings with the
literature.
Materials and Methods
Demographic information of patients such as age,
gender, serological and radiological examination results,
number of cysts, type, size, localization, type
and duration of operation, early and late complications,
duration of hospital stay, mortality and morbidity
data according to Gharbi classification. It was scanned
retrospectively from the registry system and analyzed
by creating a database.
Results
The mean age of the patients was 35.28 ±16.12 years,
and 42.9% were female (6/14) and 57.1% were
male (8/14).The most common complaints of patients
were pain (57.1%) and jaundice (21.4%), respectively.
CT (Computed Tomography) and USG (Ultrasound)
were requested for all patients at the stage of diagnosis.
Medical treatment was applied to all patients.
All patients underwent laparoscopic pericystectomy
operation. Oral treatment was started on the first day.
Bile leakage developed during the operation in three
(21.4%) patients and the primary was repaired. Bile
leakage developed in seven patients (50.0%, 7/14)
postoperatively, while two (14.3%) of these patients
required Endoscopic Retrograde Cholangio-Pancreatography
(ERCP). The patients were followed up for
one year, during which time mortality and recurrence
did not occur.
Conclusion
It is thought that laparoscopic surgery performed in
experienced centers and by experienced surgeons
will be preferred more frequently in the treatment of
hydatid cyst.

References

  • 1. Wen H, Vuitton L, Tuxun T, Li J, Vuitton DA, Zhang W et al. Echinococcosis: Advances in the 21st Century. Clin Microbiol Rev. 2019;32(2):e00075-18.
  • 2. Dietrich CF, Douira-Khomsi W, Gharbi H, Sharma M, Cui XW, Sparchez Z et al. Cystic echinococcosis, review and illustration of non-hepatic manifestations. Med Ultrason. 2020;22(3):319-324.
  • 3. Bhutani N, Kajal P. Hepatic echinococcosis: A review. Ann Med Surg (Lond). 2018;36:99-105.
  • 4. Ahmed HV, Sherwani AY, Aziz R & Shera AH. Hydatid Cyst Liver, Laproscopic Management-Our Experience with 37 Patients. Journal of Surgery and Research (2020); 3, 066-074.
  • 5. 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.
  • 6. Brunetti E, Kern P & Vuitton DA. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta tropica (2010); 114(1), 1-16.
  • 7. Mihmanli M, Idiz UO, Kaya C, Demir U, Bostanci O, Omeroglu S et al. Current status of diagnosis and treatment of hepatic echinococcosis. World journal of hepatology (2016); 8(28), 1169.
  • 8. Marrero JA, Ahn J, Rajender RK. Americal College of Gastroenterology. ACG clinical guideline: the diagnosis and management of focal liver lesions. Am J Gastroenterol 2014 Sep;109(9):1328–1347
  • 9. Botezatu C, Mastalier B & Patrascu T. Hepatic hydatid cyst–diagnose and treatment algorithm. Journal of Medicine and Life (2018); 11(3), 203.
  • 10. Zaharie F, Bartos D, Mocan L, Zaharie R, Iancu C & Tomus C. Open or laparoscopic treatment for hydatid disease of the liver? A 10-year single-institution experience. Surgical endoscopy (2013); 27(6), 2110-2116.
  • 11. Tuxun T, Zhang JH, Zhao JM, Tai QW, Abudurexti M, Ma HZ et al. World review of laparoscopic treatment of liver cystic echinococcosis 914 patients. Int J Infect Dis. 2014;24:43–50
  • 12. Edem A, İnce İ, Dostbil A, Çelik M, Öztürk G, Aydınlı B, et al. Karaciğer kist hidatik operasyonu sırasında oluşan hipernatremi. SDÜ Tıp Fakültesi Dergisi (2014); 21(4), 142-146.
  • 13. Chautems R, Buhler L, Gold B, et al. Long term results after complete or incomplete surgical resection of liver hydatid disease. Swiss Med Wkly 133 (2003): 258-262.
  • 14. Niscigorska J, Sluzar T, Marczewska M, et al. Parasitic cysts of the liver-practical approach to diagnosis and differentiation. Med Sci Monit 7 (2001): 737-774.
  • 15. Keong B, Wilkie B, Sutherland T, et al. Hepatic cystic echinococcosis in Australia: an update on diagnosis and management. ANZ J. Surg. 2018 Jan;88(1-2):26-31.
  • 16. Bedon N, Quispe E. Radical surgery for liver hydatidosis. Rev. Esp. Enf Dig.2021 Jan 7.
  • 17. Bayrak M, & Altıntas, Y. Current approaches in the surgical treatment of liver hydatid disease: single center experience. BMC surgery (2019); 19(1), 1-10.
  • 18. Rooh-ul-Muqim KK, Khalil J, Gul T, & Farid, S. Laparoscopic treatment of hepatic hydatid cyst. J Coll Physicians Surg Pak (2011); 21(8), 468-71.
  • 19. 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
  • 20. Faraj W, Malek E, Itani N, El Naaj AA, El Nounou G, El Merhi F, et al. Management of bile leak after laparoscopic hydatid liver surgery. CRSLS e2014, 60.
  • 21. Shaikh AS, Tandur AE, Pathrabe YS, Patil DS, Bhandarwar AH, & Shaikh NA. Laparoscopic management in hydatid disease of liver: a series of 35 cases. International Surgery Journal (2021); 8(4), 1134-1142.
  • 22. Al-Doghan IEM, Hussein HK, & Jasim HA. Laparoscopic treatment of hepatic hydatid cyst. Mustansiriya Medical Journal (2017); 16(2), 8.
  • 23. Kaya S, Altuntas YE, Kaptanoglu L, Altin Ö, Kement M, Küçük HF, et al. Laparoscopic treatment of hepatic hydatid cysts. Ann. Ital. Chir (2019); 90(6), 560-564.
  • 24. 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

KARACİĞER KİST HİDATİĞİNDE LAPAROSKOPİK PERİKİSTEKTOMİ DENEYİMİMİZ

Year 2022, Volume: 29 Issue: 2, 223 - 228, 30.06.2022
https://doi.org/10.17343/sdutfd.1052285

Abstract

Amaç
Çalışmanın amacı laparoskopik cerrahi tedavi uyguladığımız
kist hidatik olgularını yaş, cinsiyet, kist yerleşimi,
kist boyutu ve tipi, uygulanan tedavi, operasyon
süresi, erken ve geç dönem komplikasyonları ve nüks
açısından retrospektif olarak değerlendirmek ve bu
bulguları literatürle karşılaştırmaktır.
Gereç ve Yöntem
Hastaların yaş, cinsiyet gibi demografik bilgileri, serolojik
ve radyolojik tetkik sonuçları, kistlerin sayısı,
Gharbi sınıflamasına göre tipi, boyutu, lokalizasyonu,
operasyon şekli ve süresi, erken ve geç dönem
komplikasyonları, hastanede kalış süreleri, mortalite
ve morbidite verileri hastane kayıt sisteminden geriye
dönük tarandı ve veri tabanı oluşturularak analiz
edildi.
Bulgular
Hastaların yaş ortalaması 35.28 ±16.12 olup, %42.9’u
kadın (6/14) ve %57.1’i erkek (8/14) hastalardan oluşmaktaydı.
Hastaların en sık başvuru nedeni sırasıyla
ağrı (%57.1) ve sarılık (%21.4) şikayetleriydi. Hastaların
tamamına tanı aşamasında (Bilgisayarlı Tomografi)
BT ve (Ultrasonografi) USG istendi. Medikal tedavi
tüm hastalara uygulanmıştı. Tüm hastalara laparoskopik
perikistektomi operasyonu yapıldı. Oral tedavi
birinci gün başlandı. Hastaların üçünde (% 21.4) operasyon
esnasında safra sızıntısı gelişti ve primer onarıldı.
Postoperatif yedi hastada (%50.0, 7/14) safra
sızıntısı gelişirken, bu hastalardan ikisinde (%14.3)
ise Endoskopik Retrograd Kolanjiyo Pankreatografi
(ERCP) gereksinimi oldu. Hastalar bir yıl süreyle takip
edildi, bu sürede mortalite ve nüks gelişmedi.
Sonuç
Deneyimli merkezlerde ve tecrübeli cerrahlarca yapılan
laparoskopik cerrahinin kist hidatik tedavisinde
daha sık tercih edileceği düşünülmektedir.

References

  • 1. Wen H, Vuitton L, Tuxun T, Li J, Vuitton DA, Zhang W et al. Echinococcosis: Advances in the 21st Century. Clin Microbiol Rev. 2019;32(2):e00075-18.
  • 2. Dietrich CF, Douira-Khomsi W, Gharbi H, Sharma M, Cui XW, Sparchez Z et al. Cystic echinococcosis, review and illustration of non-hepatic manifestations. Med Ultrason. 2020;22(3):319-324.
  • 3. Bhutani N, Kajal P. Hepatic echinococcosis: A review. Ann Med Surg (Lond). 2018;36:99-105.
  • 4. Ahmed HV, Sherwani AY, Aziz R & Shera AH. Hydatid Cyst Liver, Laproscopic Management-Our Experience with 37 Patients. Journal of Surgery and Research (2020); 3, 066-074.
  • 5. 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.
  • 6. Brunetti E, Kern P & Vuitton DA. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta tropica (2010); 114(1), 1-16.
  • 7. Mihmanli M, Idiz UO, Kaya C, Demir U, Bostanci O, Omeroglu S et al. Current status of diagnosis and treatment of hepatic echinococcosis. World journal of hepatology (2016); 8(28), 1169.
  • 8. Marrero JA, Ahn J, Rajender RK. Americal College of Gastroenterology. ACG clinical guideline: the diagnosis and management of focal liver lesions. Am J Gastroenterol 2014 Sep;109(9):1328–1347
  • 9. Botezatu C, Mastalier B & Patrascu T. Hepatic hydatid cyst–diagnose and treatment algorithm. Journal of Medicine and Life (2018); 11(3), 203.
  • 10. Zaharie F, Bartos D, Mocan L, Zaharie R, Iancu C & Tomus C. Open or laparoscopic treatment for hydatid disease of the liver? A 10-year single-institution experience. Surgical endoscopy (2013); 27(6), 2110-2116.
  • 11. Tuxun T, Zhang JH, Zhao JM, Tai QW, Abudurexti M, Ma HZ et al. World review of laparoscopic treatment of liver cystic echinococcosis 914 patients. Int J Infect Dis. 2014;24:43–50
  • 12. Edem A, İnce İ, Dostbil A, Çelik M, Öztürk G, Aydınlı B, et al. Karaciğer kist hidatik operasyonu sırasında oluşan hipernatremi. SDÜ Tıp Fakültesi Dergisi (2014); 21(4), 142-146.
  • 13. Chautems R, Buhler L, Gold B, et al. Long term results after complete or incomplete surgical resection of liver hydatid disease. Swiss Med Wkly 133 (2003): 258-262.
  • 14. Niscigorska J, Sluzar T, Marczewska M, et al. Parasitic cysts of the liver-practical approach to diagnosis and differentiation. Med Sci Monit 7 (2001): 737-774.
  • 15. Keong B, Wilkie B, Sutherland T, et al. Hepatic cystic echinococcosis in Australia: an update on diagnosis and management. ANZ J. Surg. 2018 Jan;88(1-2):26-31.
  • 16. Bedon N, Quispe E. Radical surgery for liver hydatidosis. Rev. Esp. Enf Dig.2021 Jan 7.
  • 17. Bayrak M, & Altıntas, Y. Current approaches in the surgical treatment of liver hydatid disease: single center experience. BMC surgery (2019); 19(1), 1-10.
  • 18. Rooh-ul-Muqim KK, Khalil J, Gul T, & Farid, S. Laparoscopic treatment of hepatic hydatid cyst. J Coll Physicians Surg Pak (2011); 21(8), 468-71.
  • 19. 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
  • 20. Faraj W, Malek E, Itani N, El Naaj AA, El Nounou G, El Merhi F, et al. Management of bile leak after laparoscopic hydatid liver surgery. CRSLS e2014, 60.
  • 21. Shaikh AS, Tandur AE, Pathrabe YS, Patil DS, Bhandarwar AH, & Shaikh NA. Laparoscopic management in hydatid disease of liver: a series of 35 cases. International Surgery Journal (2021); 8(4), 1134-1142.
  • 22. Al-Doghan IEM, Hussein HK, & Jasim HA. Laparoscopic treatment of hepatic hydatid cyst. Mustansiriya Medical Journal (2017); 16(2), 8.
  • 23. Kaya S, Altuntas YE, Kaptanoglu L, Altin Ö, Kement M, Küçük HF, et al. Laparoscopic treatment of hepatic hydatid cysts. Ann. Ital. Chir (2019); 90(6), 560-564.
  • 24. 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
There are 24 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Articles
Authors

Alparslan Fedayi Çalta This is me 0000-0001-8372-0991

Ali Duran 0000-0002-2567-5317

Publication Date June 30, 2022
Submission Date January 2, 2022
Acceptance Date February 22, 2022
Published in Issue Year 2022 Volume: 29 Issue: 2

Cite

Vancouver Çalta AF, Duran A. KARACİĞER KİST HİDATİĞİNDE LAPAROSKOPİK PERİKİSTEKTOMİ DENEYİMİMİZ. Med J SDU. 2022;29(2):223-8.

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