TY - JOUR ID - TI - Laparoscopic Management of Hepatic Hydatid Cysts in Kerbala AU - Abdulrazzak Kalaf Hassan PY - 2015 VL - 8 IS - 1 SP - 2085 EP - 2092 JO - Karbala Journal of Medicine مجلة كربلاء الطبية SN - 19905483 29580889 AB - background: Hydatid disease is a common problem in Iraq and Surgery is themainstay of treatment. This is a prospective study of those patients with liver Hydatidcyst who were managed surgically at Al-Hussain Medical City in Kerbala for a period of one and half year from January 2013 to June 2014.Aim of the study: The aim of this study was to discuss the clinical presentations, diagnoses, and laparoscopic surgical treatment of liver hydatid cysts in comparison with other studies .Methods: forty patients were enrolled in the study, data collected: preoperative assessment, type of treatment and postoperative follow-up until their discharge from our hospital.The diagnosis was based on clinical examination, plain X-Ray, U/S & CT scan, MRI and MRCP.Results and discussion: hydatid cyst forms the commonest space occupying lesion in the liver. The recurrent form of the disease was found in 12 patients (30% ) and the multiple liver hydatid found in 16 patients (40%). This relatively high incidence of recurrence and multiplicity of the disease indicate high prevalence of such pathology in our areas.24 patients (60%) operated laparoscopically and 16 patients (40%) were operated by traditional opened method.The surgical treatment of hydatid cyst were in form of: Excision and external drainage in 32 patients (80%), excision and omentoplasty in 8 patients (20%).Post-operative complications included: Wound infection in 5 patients (12.5%), respiratory tract infection in 4 patients (10%), urinary tract infection in 3 patients (7.5 %), persistent drainage through the tube drain in 3 patients (7.5%), abscess collection in the residual cavity in 2 patients (5%) and persistent obstruction of the common bile duct in 1 patient (2.5%).Overall morbidity was 45% of our patients. No mortality was recorded.Conclusions: laparoscopic treatment of the hepatic hydatid cyst is a new method with great advantages and minimal disadvantage and we highly recommend to assess any patient for laparoscopic treatment.

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