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Volume 14 Issue 3 (March) 2025

Original Articles

Laparoscopic approach for the management of hydatid cysts of liver
Dr. Dawood Iqbal Wani, Dr. Iram Saba, Dr. Rezwana Nafees

Background: Human hydatid illness is caused by the cestode Echinococcus granulosus, which frequently lodges in the liver. Although there are a number of endemic areas, the illness can be found anywhere in the world. Surgery is the major mode of treatment, despite developments in medicinal and minimally invasive radiological therapies. The present study was laparoscopic approach for the management of hydatid cysts of liver. Materials & Methods: 56 cases of hydatid cysts of liver of both genders were managed with laproscopic hydatid cystectomy. Parameters such as location of cyst, diameter of cyst, operation time, hospital stay, and recurrence rare was noted. Results: Out of 56 cases, 32 were males and 26 were females. Location of cyst was right lobe in 36 and left lobe in 20 cases. Diameter was 5-10 cm in 13 and 11-15 cm in 28 and 16-20 cm in 15 patients. The mean operation time was 45-60 mins in 14, 60-90 mins in 37 and 90-120 mins in 5 cases. The mean hospital stay was 2-4 days in 11 and 4-8 days in 45 cases. The difference was significant (P< 0.05). However no recurrence was found. Conclusion: In cases of hepatic hydatid illness, laparoscopy is quite viable. Effective dissection and partial cystectomy are made possible by the use of laparoscopic cutting and sealing tools. Laparoscopic surgery for liver hydatid illness is not limited by the size or grade of the cyst.

 
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