LAPAROSCOPIC SIMULTANEOUS PARTIAL PERICYSTECTOMY AND TOTAL CYSTECTOMY FOR HYDATID LIVER CYSTS – CASE REPORT
| Autor: | Daniela Pintea, Dan Alin Pop, Octavian Andercou, Aurel Mironiuc, Bogdan Stancu |
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| Rok vydání: | 2015 |
| Předmět: |
Laparoscopic surgery
pericystectomy medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment Biliary fistula Case Report Interventional radiology General Medicine medicine.disease laparoscopic surgery Echinococcosis Hypertonic saline Albendazole Surgery medicine Cyst Headaches medicine.symptom business hydatid liver cyst medicine.drug |
| Zdroj: | Clujul Medical |
| ISSN: | 2668-0572 2602-0807 |
| DOI: | 10.15386/cjmed-416 |
| Popis: | Surgery remains the gold standard for the treatment of patients with echinococcosis, despite significant economic costs, advances in medical treatment and interventional radiology; in the past decades there has been a tendency toward laparoscopic surgery.We present a 66-year-old patient, from a rural area, who was admitted to our service complaining of spontaneous and palpatory pains in the right hypocondrium, headaches and dizziness. Abdominal CT scan highlighted 2 round calcified tumors, one of 7.2 cm diameter (VIIIth segment) with liquid densities, and the other one localized higher, with a diameter of 2.3 cm (IVth segment).Under general anesthesia, after the neutralization of the content of the cyst with hypertonic saline irrigation, we performed laparoscopic partial pericystectomy of the VIIIth segment liver cyst and total laparoscopic cystectomy of the IVth segment liver cyst. Postoperative evolution was favorable without biliary fistula formation, postoperative infections or cystic cavities abscesses.Laparoscopic surgery seems to be effective and safe for uncomplicated cysts in accessible segments of the liver, combined with adjuvant albendazole therapy to reduce complications and postoperative morbidity, but the procedure has its own disadvantages such as a limited area of surgical manipulation. |
| Databáze: | OpenAIRE |
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