We use cookies to offer you an optimal experience on our website. By browsing our website, you accept the use of cookies.

You must be logged in to watch this video. Click here to access your account, or here to register for free!

  • 4199
  • 2003-07-24

Laparoscopic treatment of a hydatid cyst of the liver

Epublication WebSurg.com, Jul 2003;03(07). URL:
You must be logged in to ask a question to authors. Click here to access your account, or here to register for free!
This video demonstrates the surgical approach to a large hydatid cyst in the right lobe of the liver. The surgeon uses a 3D reconstruction of the liver and the cyst to create a virtual image of the diseased area and to preplan the surgical approach. The surgeon starts by performing a cholecystectomy to gain better approach to the liver cyst. Then the cyst is aspirated and hypertonic saline is inserted for twenty minutes. Through a small opening in the cyst wall the contents are aspirated. Repeat instillation of hypertonic saline helps aspirate the contents. Once completed the cyst wall is opened wider and the cavity is fully inspected. The cyst is deroofed and the anterior cyst wall removed. The edges of the liver is covered with fibrin glue and a piece of omentum is brought up and sutured to it. A drain is left in place.