Laparoscopic treatment of hydatid cyst of the liver in children (62 cysts)

4^th Global Surgery and Transplantation Congress

October 03-04, 2016 Atlanta, USA

Muataz Abduljawad Alani

Central Child Teaching Hospital, Iraq

Posters & Accepted Abstracts: J Transplant Technol Res

Abstract :

Introduction: Appropriate surgical intervention to obtain the best results with the lowest rate of recurrence and minimal morbidity is mandatory for the management of hepatic hydatid disease. Aim: Aim of this study is to evaluate the safety and efficacy of laparoscopically treated liver hydatid cysts in children. Patients & Methods: From September 2009 to September 2014, 62 hydatid cysts of the liver underwent laparoscopic treatment in pediatric surgery center in Al Khansaa Teaching Hospital, Iraq. Umbilical 5 mm port, another two 5 mm ports inserted and used as working site. The procedure were the same as in open surgery, puncture, aspiration, injection of scolicidal agent, reaspiration, removal of proligerous membrane and resection of the dome. All patients received antiparasitic drugs. Results: The patients' mean average age was five years and seven months (range three to seven years). The number of cysts ranged from one to two with a diameter of 60 to 150 mm (mean diameter, 85.5 mm). Three patients had a mesenteric associated hydatid cyst, another two had pelvic hydatid cyst. The average operating time was 65 minutes (45 min-95 min). The average length of hospital stay was three days (range, 2-4 days). No complications were reported, apart from port site infection in three patients with infected hydrated cyst. At 5 to 49 months follow-up, no recurrence has been reported. Conclusion: Laparoscopy represents a safe approach for the treatment of hydatid cyst of the liver in children.

Biography :

Email: drmoutazalani@yahoo.com