J. B. Koea MD, FACS, FRACS.
Laparoscopic treatment of hepatic hydatid disease
Article first published online: 20 JUN 2012
© 2012 The Author. ANZ Journal of Surgery © 2012 Royal Australasian College of Surgeons
ANZ Journal of Surgery
Volume 82, Issue 7-8, pages 499–504, July/August 2012
How to Cite
Koea, J. B. (2012), Laparoscopic treatment of hepatic hydatid disease. ANZ Journal of Surgery, 82: 499–504. doi: 10.1111/j.1445-2197.2012.06126.x
This paper was presented at the 9th Meeting of the European Hepatopancreaticobiliary Association, 14 April 2011, Capetown, South Africa.
- Issue published online: 5 AUG 2012
- Article first published online: 20 JUN 2012
- Accepted for publication 9 November 2011.
- hydatid disease;
Background: Hepatic hydatid disease is now rare in Australasia. However, it remains a significant problem in endemic areas. Many cases are now managed using minimally invasive techniques and this paper reviews the current status of laparoscopic approaches to hepatic hydatid disease.
Methods: A Medline data search was performed using the search terms of Ecchinococcos, laparoscopy, hepatectomy and pericystectomy. All publications from all publication years, including foreign language publications, were included.
Results: Eight series have been published comprising five or more patients, with most utilizing techniques of laparoscopic cystectomy. All series managed Gharbi cyst types I–IV, and median operative times were between 60 and 82 min. Seven conversions were reported (3%) for problems with access or bleeding. There was one reported fatality, and between 5% and 45% (median 13%) of patients developed complications. Three cases of anaphylaxis were reported and 14 cases of bile fistula were reported (median incidence: 6%). Hospital stays were between 3 and 10 days (median stay: 3.5 days). Two series report recurrences (recurrence rates of 3% and 4%) and these were in patients not treated with preoperative albendazole.
Conclusion: Laparoscopic surgical techniques have been successfully applied to the treatment of hepatic hydatid cysts. While the uptake of these procedures is limited to areas of high prevalence and units with a specific interest, laparoscopic surgery is now one of the management options available to treat hepatic hydatid disease.