Laparoscopic closed cystopericystectomy in liver hydatidosis
Epublication WebSurg.com, Mar 2011;11(03). URL: http://websurg.com/doi/vd01en3215
A 54-year-old woman presented to our Department with epigastric pain. Abdominal ultrasound and MRI showed a cystic lesion of 30 x 36 x 37mm located in segment III of the liver. The left portal trunk, which divides into branches, can be found close to the lesion. Serological test of hydatidosis was positive (1/2560). The surgical intervention was decided upon. In our opinion, radical surgery (total cystectomy or liver resection) should be the technique of choice in liver hydatidosis, since better results are obtained, especially in terms of morbidity, relapse and hospital stay. Totally laparoscopic closed cystopericystectomy, when feasible, could be done, but it is more technically demanding than conservative techniques.