doiSerbia

Laparoscopic approach in the treatment of echinococcal liver disease - case report and literature review

Grubor Nikola (Clinical Center of Serbia, Clinic for Digestive Surgery - First Surgical Clinic, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, Serbia)
Tadić Boris (Clinical Center of Serbia, Clinic for Digestive Surgery - First Surgical Clinic, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, Serbia)
Milosavljević Vladimir (Gracia Medica Polyclinic, Belgrade, Serbia)
Knežević Đorđe (Clinical Center of Serbia, Clinic for Digestive Surgery - First Surgical Clinic, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, Serbia)
Matić Slavko (Clinical Center of Serbia, Clinic for Digestive Surgery - First Surgical Clinic, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, Serbia)

Introduction. Cystic echinococcosis or hydatid disease is a parasitic disease, zoonosis, and is most commonly caused by Echinococcus granulosus larvae. It mainly occurs in endemic areas. The most common localization is the liver. Case outline. In this paper, we will present our experience with a 67-year-old female patient diagnosed with an echinococcal cyst in the right lobe of the liver, as confirmed by computed tomography examination of the abdomen. The patient underwent laparoscopic partial pericystectomy with omentoplasty. The operation went without complications, as well as the postoperative period. Conclusion. Laparoscopic partial pericystectomy is a safe and effective treatment of available hepatic hydatid cysts. Considering all the benefits of minimally invasive surgery, laparoscopic partial pericystectomy of hepatic hydatid cysts may be the treatment of choice, over the classical open surgery approach.

Keywords: Echinococcus granulosus, liver cyst, laparoscopy, hydatid cyst, laparoscopic fenestration