LAPAROSCOPIC SIMULTANEOUS PARTIAL PERICYSTECTOMY AND TOTAL CYSTECTOMY FOR HYDATID LIVER CYSTS - CASE REPORT

摘要: Surgery remains the gold standard for treatment of patients with echinococcosis, despite significant economic costs, advances in medical and interventional radiology; past decades there has been a tendency toward laparoscopic surgery. We present 66-year-old patient, from rural area, who was admitted to our service complaining spontaneous palpatory pains right hypocondrium, headaches dizziness. Abdominal CT scan highlighted 2 round calcified tumors, one 7.2 cm diameter (VIIIth segment) liquid densities, other localized higher, 2.3 (IVth segment). Under general anesthesia, after neutralization content cyst hypertonic saline irrigation, we performed partial pericystectomy VIIIth segment liver total cystectomy IVth cyst. Postoperative evolution favorable without biliary fistula formation, postoperative infections or cystic cavities abscesses. Laparoscopic surgery seems be effective safe uncomplicated cysts accessible segments liver, combined adjuvant albendazole therapy reduce complications morbidity, but procedure its own disadvantages such as limited area surgical manipulation.