Laparoscopic treatment of hepatic hydatid disease has been increasingly popular and has undergone a revolution parallel to the progress in laparoscopic surgery. There are encouraging preliminary results; however, there have been limited reports concerning long term results of this technique. With increased use, the technique has been refined and standardized. This study presents our experience, new techniques, and long-term cumulative results in laparoscopic treatment of hepatic hydatid disease.
The liver is the most frequent localization of hydatid cysts. Most hydatid liver cysts caused by the parasite E. granulosus are multiple and localized in the right lobe.
The infection is spreaded to the definitive host when the hydatid cyst is eaten. As one might suspect, this species of parasite is more common in areas of the world where dogs are used to herd sheep. Hydatid disease in humans remains a serious problem because the disease can cause such serious pathology.
The hydatid liver cyst can break suddenly into the bile tube system, ejecting the contents of the cyst into the bile tubes, and causing obstructive jaundice. They can also break into the free peritoneal space following trauma or even a small blow to the abdomen. Large cysts, situated close to the liver hilum can shrink the main bile tubes and the vessels, causing obstructive jaundice or lobar atrophy or portal hypertension. The infiltrative process can involve large portions of the liver and cause stenosis of intrahepatic bile tubes and hepatic and portal veins.
Symptoms can occur a long time after infection, sometimes months or years later. Sometimes there are no symptoms at all. If they occur, symptoms are, stomach upset, diarrhoea, unexplained weight loss, swollen abdomen, anaemia, weakness and fatigue, cough, blood or the fluid from a ruptured cyst ??? may be coughed up and jaundice ??? pressure from an enlarging cyst may cause jaundice.
Laparoscopic treatment for hydatid cyst- special device has been developed for the removal of the hydatid cyst with the laparoscope called the perforator-grinder-aspirator apparatus. The device penetrates the cyst, grinds the particulate matter and sucks it all out. The main advantage of this instrument over that of conventional suction apparatus is that it does not gets blocked by the daughter cysts and laminated membranes.
DR.K.N.Srikanth has done laparoscopic procedures in many patients and succeeded too. He has a solid experience in this kind of treatments and procedure.