Öz
Cerrahi teknoloji ve ekipmanlardaki hızlı gelişmelere rağmen karaciğer hidatozu (LH) tedavisinde laparoskopi yaygın olarak uygulanmamaktadır.
Burada preoperatif görüntülemeye dayanarak laparoskopik radikal cerrahi ile tedavi edilen bir LH olgusunu sunuyoruz. 24 yaşında kadın hasta
karaciğer kist hidatik nedeniyle hastanemize sevk edildi. Preoperatif bilgisayarlı tomografide 75 mm büyüklüğünde, karaciğer segment 5 - 6’da
tutulum gösteren ve safra kesesine adheze laminer membranlı hidatik kist görüldü. Hastaya, ponksiyon-aspirasyon-enjeksiyon-reaspirasyon işleminin
başarısız olması üzerine laparoskopik perisistektomi ve kolesistektomi uygulandı. Hasta postoperatif 1. günde sorunsuz taburcu edildi. Seçilmiş
olgularda parazitlerin tamamen yok edilmesi için tek tedavi seçeneği total perisistektomidir. Özellikle periferik yerleşimli, majör duktal yapılar ve
damarlarla ilişkisi olmayan, 10 cm’den küçük karaciğer kist hidatik olgularında laparoskopik yaklaşım güvenle uygulanabilir.
Anahtar Kelimeler
Laparoskopik Perikistektomi Karaciğer Hidatozu Hidatik Kist Minimal Invaziv Cerrahi Ekinokokkoz Olgu Sunumu
Etik Beyan
Informed Consent: Informed consent was obtained from the patient who participated in this study. Peer-reviewed: Externally and internally peer-reviewed.
Destekleyen Kurum
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Proje Numarası
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Teşekkür
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Kaynakça
- 1. Ramia JM, Poves I, Castellón C, et al. Radical laparoscopic treatment for liver hydatidosis. World J Surg. 2013;37:2387-2392.
- 2. Misra MC, Khan RN, Bansal VK, et al. Laparoscopic pericystectomy for hydatid cyst of the liver. Surg Laparosc Endosc Percutan Tech. 2010;20:24- 26.
- 3. Rooh-ul-Muqim, Kamran K, Khalil J, et al. Laparoscopic treatment of hepatic hydatid cyst. J Coll Physicians Surg Pak. 2011;21:468-471.
- 4. Alonso Casado O, Moreno González E, Loinaz Segurola C, et al. Results of 22 years of experience in radical surgical treatment of hepatic hydatid cysts. Hepatogastroenterology. 2001;48:235-243.
- 5. Yagci G, Ustunsoz B, Kaymakcioglu N, et al. Results of surgical, laparoscopic, and percutaneous treatment for hydatid disease of the liver: 10 years experience with 355 patients. World J Surg. 2005;29:1670-1679.
- 6. Dziri C, Haouet K, Fingerhut A. Treatment of hydatid cyst of the liver: where is the evidence? World J Surg. 2004;28:731-736.
- 7. Rihani HR, El-Nabulsi BA, Aziz A, et al. Laparoscopic approach to liver hydatid cyst. Is it safe. JRMS. 2005;12:69-71.
- 8. Tasev V, Dimitrova V, Draganov K, et al. [Hepatic echinococcosis: radical or conservative surgical treatment]. Khirurgiia (Sofiia). 2002;58:10-13.
- 9. Bickel A, Loberant N, Singer-Jordan J, et al. The laparoscopic approach to abdominal hydatid cysts: a prospective nonselective study using the isolated hypobaric technique. Arch Surg. 2001;136:789-795.
- 10. Manterola C, Fernández O, Muñoz S, et al. Laparoscopic pericystectomy for liver hydatid cysts. Surg Endosc. 2002;16:521-524.
- 11. Buell JF, Cherqui D, Geller DA, et al. The international position on laparoscopic liver surgery: The Louisville Statement, 2008. Ann Surg. 2009;250: 825-30.
- 12. Cannon RM, Brock GN, Marvin MR, et al. Laparoscopic liver resection: an examination of our first 300 patients. J Am Coll Surg. 2011;213:501-507.
- 13. Cho JY, Han HS, Yoon YS, et al. Feasibility of laparoscopic liver resection for tumors located in the posterosuperior segments of the liver, with a special reference to overcoming current limitations on tumor location. Surgery. 2008;144:32-38.
- 14. Seven R, Berber E, Mercan S, et al. Laparoscopic treatment of hepatic hydatid cysts. Surgery. 2000;128:36-40.
- 15. Cirenei A, Bertoldi I. Evolution of surgery for liver hydatidosis from 1950 to today: analysis of a personal experience. World J Surg. 2001;25:87-92.
- 16. Zaharie F, Bartos D, Mocan L, et al. Open or laparoscopic treatment for hydatid disease of the liver? A 10-year single-institution experience. Surg Endosc. 2013;27:2110-2116.
- 17. Dervenis C, Delis S, Avgerinos C, et al. Changing concepts in the management of liver hydatid disease. J Gastrointest Surg. 2005;9:869-877.
Öz
Despite the rapid developments in surgical technology and equipment, laparoscopy has not been widely practiced in the treatment of liver hydatosis
(LH). Here, we report a case of LH treated with laparoscopic radical surgery with appropriate selection based on preoperative imaging. A 24-year-old
woman was referred to our hospital due to hepatic hydatid cyst. Preoperative computed tomography showed hydatid cyst with detached laminar
membranes, 75 mm in size, involving segment 5 - 6 of the liver and attached to gallbladder. She underwent laparoscopic pericystectomy combined
with cholecystectomy after a failed puncture-aspiration-injection-reaspiration. The patient was discharged uneventfully on postoperative day one.
Total pericystectomy is the only treatment option for complete eradication of the parasites in selected cases. Especially, laparoscopic approach can
be safely performed in cases with hepatic hydatid cyst smaller than 10 cm, located peripherally and irrelevant to major ductal structures and vessels.
Anahtar Kelimeler
Laparoscopic Pericystectomy Liver Hydatidosis Hydatid Cyst Minimally Invasive Surgery Echinococcosis Case Report
Proje Numarası
-
Kaynakça
- 1. Ramia JM, Poves I, Castellón C, et al. Radical laparoscopic treatment for liver hydatidosis. World J Surg. 2013;37:2387-2392.
- 2. Misra MC, Khan RN, Bansal VK, et al. Laparoscopic pericystectomy for hydatid cyst of the liver. Surg Laparosc Endosc Percutan Tech. 2010;20:24- 26.
- 3. Rooh-ul-Muqim, Kamran K, Khalil J, et al. Laparoscopic treatment of hepatic hydatid cyst. J Coll Physicians Surg Pak. 2011;21:468-471.
- 4. Alonso Casado O, Moreno González E, Loinaz Segurola C, et al. Results of 22 years of experience in radical surgical treatment of hepatic hydatid cysts. Hepatogastroenterology. 2001;48:235-243.
- 5. Yagci G, Ustunsoz B, Kaymakcioglu N, et al. Results of surgical, laparoscopic, and percutaneous treatment for hydatid disease of the liver: 10 years experience with 355 patients. World J Surg. 2005;29:1670-1679.
- 6. Dziri C, Haouet K, Fingerhut A. Treatment of hydatid cyst of the liver: where is the evidence? World J Surg. 2004;28:731-736.
- 7. Rihani HR, El-Nabulsi BA, Aziz A, et al. Laparoscopic approach to liver hydatid cyst. Is it safe. JRMS. 2005;12:69-71.
- 8. Tasev V, Dimitrova V, Draganov K, et al. [Hepatic echinococcosis: radical or conservative surgical treatment]. Khirurgiia (Sofiia). 2002;58:10-13.
- 9. Bickel A, Loberant N, Singer-Jordan J, et al. The laparoscopic approach to abdominal hydatid cysts: a prospective nonselective study using the isolated hypobaric technique. Arch Surg. 2001;136:789-795.
- 10. Manterola C, Fernández O, Muñoz S, et al. Laparoscopic pericystectomy for liver hydatid cysts. Surg Endosc. 2002;16:521-524.
- 11. Buell JF, Cherqui D, Geller DA, et al. The international position on laparoscopic liver surgery: The Louisville Statement, 2008. Ann Surg. 2009;250: 825-30.
- 12. Cannon RM, Brock GN, Marvin MR, et al. Laparoscopic liver resection: an examination of our first 300 patients. J Am Coll Surg. 2011;213:501-507.
- 13. Cho JY, Han HS, Yoon YS, et al. Feasibility of laparoscopic liver resection for tumors located in the posterosuperior segments of the liver, with a special reference to overcoming current limitations on tumor location. Surgery. 2008;144:32-38.
- 14. Seven R, Berber E, Mercan S, et al. Laparoscopic treatment of hepatic hydatid cysts. Surgery. 2000;128:36-40.
- 15. Cirenei A, Bertoldi I. Evolution of surgery for liver hydatidosis from 1950 to today: analysis of a personal experience. World J Surg. 2001;25:87-92.
- 16. Zaharie F, Bartos D, Mocan L, et al. Open or laparoscopic treatment for hydatid disease of the liver? A 10-year single-institution experience. Surg Endosc. 2013;27:2110-2116.
- 17. Dervenis C, Delis S, Avgerinos C, et al. Changing concepts in the management of liver hydatid disease. J Gastrointest Surg. 2005;9:869-877.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Genel Cerrahi |
| Bölüm | Makaleler |
| Yazarlar | |
| Proje Numarası | - |
| Yayımlanma Tarihi | 30 Haziran 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 75 Sayı: 2 |
