Hydatid cyst of liver
Chowbey, P.K.; Dewan, A.; Khullar, R.; Sharma, A.; Soni, V.; Baijal, M.; Vashishtha, A. and Dhir, A. (2002) Hydatid cyst of liver. In: 5th Annual Conference of Indian Association of Gastrointestinal Endo-surgeons (IAGES), 31st Jan - 3rd Feb 2002, Kolkatta, India.
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The liver is the commonest organ in humans to be targeted by hydatid disease. The hydatid cyst can attain an enormous size before causing symptoms or may be incidentally detected early on investigations done for some other reason. Surgery is the only option for cure and conventional surgery warrants a very large incision for the removal. The condition is ideally suited for laparoscopy as cyst contents are fluid and can be aspirated and the lining endocyst is collapsible . The magnification provides an excellent view to detect and prevent any spillage of contents. We have attempted and successfully managed 15 cases of patients with liver hydatid. In our experience cysts situated in the left lobe of liver and segment 3-6 of the right lobe are amenable for laparoscopic approach. Generous irrigation with hypertonic saline prior to cyst aspiration is a safeguard against any spillage. The endocyst is removed in ar: endobag and the cavity packed with omentum.
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