Original scientific paper
Laparoscopic Surgery for Large Hydatide Liver Cyst After Two Previous Laparotomies
Željko Bušić
; University Hospital »Dubrava«, University Department of Surgery, Zagreb, Croatia
Marijan Kolovrat
; University Hospital »Dubrava«, University Department of Surgery, Zagreb, Croatia
Mario Kopljar
; University Hospital »Dubrava«, University Department of Surgery, Zagreb, Croatia
Dražen Servis
; University Hospital »Dubrava«, University Department of Surgery, Zagreb, Croatia
Vlatka Čavka
; University Hospital »Sisters of Mercy«, University Department of Dermatovenerology, Zagreb, Croatia
Leonardo Patrlj
; University Hospital »Dubrava«, University Department of Surgery, Zagreb, Croatia
Njegoslav Bušić
; University Hospital Center »Split«, University Department of Otorhinolaryngology and Maxillofacial Surgery, Split, Croatia
Mislav Čavka
; University Hospital »Dubrava«, University Department of Diagnostic and Interventional Radiology, Zagreb, Croatia
Igor Nikolić
; University Hospital »Dubrava«, University Department of Surgery, Zagreb, Croatia
Abstract
Laparoscopic surgery for hepatic echinococcosis is a technically difficult and demanding surgical procedure even for the most experienced abdominal surgeon. Surgery is performed after the conservative treatment with albendazole for 28 days. We report a case of laparoscopic partial pericystectomy with biliostasis and omentoplasty in a patient with two previously open surgeries (laparotomies) - right subcostal laparotomy for acute inflammation of the gallbladder and right pararectal laparotomy for perforated gangrenous appendix. The patient underwent extensive laparoscopic adhesiolysis due to pronounced intra-abdominal adhesions to gain access to a large hydatid cyst with the diameter of 11 cm. Laparoscopic surgery is much less traumatic to the patient with a better cosmetic effect.
Keywords
hepatic echinococcosis; hydatid cyst; liver; surgery; laparoscopy; minimally invasive surgery
Hrčak ID:
127564
URI
Publication date:
30.6.2014.
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