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Category: Volume 07 Issue 05 May 2019
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Title: Laparoscopic Management of Hepatic Hydatid Disease – Results From a Developing World Country

Authors: Dr Zahida Akhter, Prof. Farooq Ahmad Reshi, Prof. Iqbal Saleem Mir,  Dr Tanveer Ahmad Yatoo, Dr Abdul Rashid Ganaie, Dr Zaheem, Dr Aftab Akbar,  Dr Yaqoob, Dr Yasir Rehman

 DOI: https://dx.doi.org/10.18535/jmscr/v7i5.161

Abstract

Introduction

Hydatid disease is one of the major health problem in the infested areas of world, mainly in sheep-raising areas like North Africa, Turkey, the Middle East, Australia, New Zealand, South America, Baltic areas, the Philippines, Northern China, and the Indian subcontinent. However it can be found anywhere, in the world owing to increased travel and tourism as the world has shrunken to a global village.1

Hepatic hydatidosis is caused by the parasite, Echinococcus granulosus, Echinococcus has intermediate and definitive hosts. Canidae, especially dogs, are the definitive hosts; ruminants may also host the organism. Sheep and goats are intermediate hosts, although E. granulosus can also be hosted by a wide range of vertebrates. Man is the accidental intermediate host.2

The most common site of occurrence of hydatid cysts in humans is the liver (50% to 93%)3 followed by lungs. The typical lesion is a cystic cavity filled with clear hydatid fluid containing live protoscoleces.

The rationale for elective treatment of hydatid lesionof liver is based on the possibility that it may grow and cause symptoms and complications such as infection, jaundice or cholangitis from biliary communication, rupture and anaphylaxis.

Treatment of hepatic hydatid of the liver can include medical therapy, percutaneous drainage, or surgical intervention (via a conventional or laparoscopic approach).

The aims of surgery are complete evacuation of cyst without spillage, followed by sterilization and obliteration of the cavity. Laparoscopic approach is a suitable surgical technique to achieve these aims, but there are certain technical problems to overcome. In particular, intraparanchymal cysts, which do not reach the surface of the liver, are difficult to localize and manage laparoscopically. Multiplicity and location of the cysts are the other two parameters to be considered while planning treatment.

The aim of this study was to determine the results of the laparoscopic management of hepatic hydatid cyst disease from a developing world country.

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Corresponding Author

Dr Zahida Akhter

Post Graduate Department of General Surgery

Government Medical College, Srinagar