Système gastro-intestinal et digestif

Abstrait

Radical Laparoscopic Treatment for Hepatic Hydatid Disease

Jarufe N, Galindo JL, Bächler JP, Ahumada V, Rebolledo R, Crovari F, Guerra JF, Martínez J

Background: Surgical approach is considered the most effective treatment for hydatid liver disease (HLD). Nevertheless, there is no general consensus regarding whether either open or laparoscopic surgery is the best approach.

Aim: To evaluate laparoscopic approach for the surgical treatment of HLD.

Methods: A retrospective study was performed. Patients with uncomplicated HLD who underwent laparoscopic radical pericystectomy from April 2007 to May 2015 were included. Preoperative variables, cyst characteristics and recurrence rates were analysed.

Results: Twenty-four patients underwent radical laparoscopic surgery. The median age was 35 years (3-79). The median sizes were 8 cm (3-15). The in-hospital stay was 3 days (2-25) and the overall morbidity was 16% (4 cases), one patient presented biliary leak complication. No mortalities were registered. The median follow-up care of this cohort was 57,5 months (9-106), one case of thoracic recurrence was observed.

Conclusions: Based in our experience, treatment of uncomplicated HLD by laparoscopic pericystectomy is safe and feasible; it concluded no increase in perioperative morbidity, recurrence rate or mortality compared to previous published data.