Abstract:

INTRODUCTION: Cyst hydatid disease is still our territory and remains a common health problem for our country. In this clinical retrospective study, cases of liver hydatid cysts treated as laparoscopic were analysed.METHODS: Medical records of 25 patients (16 female, 9 male; mean age 41±3.42; range 20–78) who were treated for hepatic hydatid disease in our clinic between June 2016 and June 2017 were retrospectively reviewed. Patients were evaluated in terms of age, sex, location of cyst, surgical method applied, duration of hospital stay, postoperative complications and treatment methods for complications.RESULTS: One patient (4%) due to intraperitoneal rupture was operated urgently. In 5 (20%) of the cases, bile leakage were seen in the cyst sponge during the operation and perioperative laparoscopic suture was performed. In three of these patients (12%), the leakage was closed without any intervention, two (8%) lasted more than a week and the daily flow was over 150 cc. Endoscopic sphincterotomy was applied to these cases.DISCUSSION AND CONCLUSION: Nowadays at experienced centers, laparoscopic surgical interventions in selected patients take place in the treatment algorithm as an effective and safe method for the treatment of liver cyst hydatid disease. We think that uncomplicated hydatid cysts do not need specialized laparoscopic instruments in the surgery.

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