Research Article
Radical Laparoscopic Treatment for Hepatic Hydatid Disease
Jarufe N*, Galindo JL, Bächler JP, Ahumada V, Rebolledo R, Crovari F, Guerra JF and Martínez J
Department of Digestive Surgery, Clinical Hospital Pontifical, Catholic University of Chile, Santiago, Chile
- Corresponding Author:
- Nicolas Jarufe. MD.
Chief of Department, Department of Digestive Surgery
Faculty of Medicine, Pontificia Universidad Católica de Chile
Marcoleta 350, Patio Interior, División de Cirugía, 8330033, Santiago, Chile
Tel: +56992991399
E-mail: njarufe@med.puc.cl
Received Date: March 28, 2016; Accepted Date: April 22, 2016; Published Date: April 28, 2016
Citation: Jarufe N, Galindo JL, Bächler JP, Ahumada V, Rebolledo R, et al. (2016) Radical Laparoscopic Treatment for Hepatic Hydatid Disease. J Gastrointest Dig Syst 6:419. doi:10.4172/2161-069X.1000419
Copyright: © 2016 Jarufe N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Background: Surgical approach is considered the most effective treatment for hydatid liver disease (HLD). Nevertheless, there is no general consensus regarding whether either open or laparoscopic surgery is the best approach.
Aim: To evaluate laparoscopic approach for the surgical treatment of HLD.
Methods: A retrospective study was performed. Patients with uncomplicated HLD who underwent laparoscopic radical pericystectomy from April 2007 to May 2015 were included. Preoperative variables, cyst characteristics and recurrence rates were analysed.
Results: Twenty-four patients underwent radical laparoscopic surgery. The median age was 35 years (3-79). The median sizes were 8 cm (3-15). The in-hospital stay was 3 days (2-25) and the overall morbidity was 16% (4 cases), one patient presented biliary leak complication. No mortalities were registered. The median follow-up care of this cohort was 57,5 months (9-106), one case of thoracic recurrence was observed.
Conclusions: Based in our experience, treatment of uncomplicated HLD by laparoscopic pericystectomy is safe and feasible; it concluded no increase in perioperative morbidity, recurrence rate or mortality compared to previous published data.
