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

Authors

  • Bogdan Stancu
  • Octavian Andercou
  • Daniela Pintea
  • Aurel Mironiuc
  • Dan Alin Pop

DOI:

https://doi.org/10.15386/cjmed-416

Keywords:

hydatid liver cyst, pericystectomy, laparoscopic surgery

Abstract

Surgery remains the gold standard for the treatment of patients with echinococcosis, despite significant economic costs, advances in medical treatment and interventional radiology; in the past decades there has been a tendency toward laparoscopic surgery.

We present a 66-year-old patient, from a rural area, who was admitted to our service complaining of spontaneous and palpatory pains in the right hypocondrium, headaches and dizziness. Abdominal  CT scan highlighted 2 round calcified tumors, one of 7.2 cm diameter (VIIIth segment) with liquid densities, and the other one localized higher, with a diameter of 2.3 cm (IVth segment).

Under general anesthesia, after the neutralization of the content of the cyst with hypertonic saline irrigation, we performed laparoscopic partial pericystectomy of the VIIIth segment liver cyst and total laparoscopic cystectomy of the IVth segment liver cyst. Postoperative evolution was favorable without biliary fistula formation, postoperative infections or cystic cavities abscesses.

Laparoscopic surgery seems to be effective and safe for uncomplicated cysts in accessible segments of the liver, combined with adjuvant albendazole therapy to reduce complications and postoperative morbidity, but the procedure has its own disadvantages such as a limited area of surgical manipulation.

Author Biographies

Bogdan Stancu, Iuliu Hatieganu University of Medicine and Pharmacy

Clinica Chirurgie Generala II

Octavian Andercou, Iuliu Hatieganu University of Medicine and Pharmacy

Clinica Chirurgie Generala II

Daniela Pintea, Iuliu Hatieganu University of Medicine and Pharmacy

Clinica Chirurgie Generala II

Aurel Mironiuc, Iuliu Hatieganu University of Medicine and Pharmacy

Clinica Chirurgie Generala II

Dan Alin Pop, Iuliu Hatieganu University of Medicine and Pharmacy

Clinical Urology and Renal Transplant Institute Cluj

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Published

2015-06-19

How to Cite

1.
Stancu B, Andercou O, Pintea D, Mironiuc A, Pop DA. LAPAROSCOPIC SIMULTANEOUS PARTIAL PERICYSTECTOMY AND TOTAL CYSTECTOMY FOR HYDATID LIVER CYSTS – CASE REPORT. Med Pharm Rep [Internet]. 2015 Jun. 19 [cited 2025 Oct. 5];88(3):415-9. Available from: https://medpharmareports.com/index.php/mpr/article/view/416

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Section

Case Report