The possibility of endovideosurgical treatment of a giant hydatid cysts of the liver

I. A. Soloviev; A. B. Lychev; D. A. Dymnikov; M. M. Lototskiy

Bulletin of the Russian Military Medical Academy ›› 2017, Vol. 19 ›› Issue (1) :61 -63.

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The possibility of endovideosurgical treatment of a giant hydatid cysts of the liver

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Abstract

The case of successful minimally invasive surgical treatment of a patient with a giant hydatid cyst of the liver is presented. Outpatient ultrasound examination revealed the formation of the right lobe of the liver with a size of about 10 cm. During hospitalization in the naval surgery clinic of S. M. Kirov Military Medical Academy, the comprehensive clinical and radiological examination was performed. Diagnosis: hydatid cyst of the liver. Data for the prevalence of the process was not received. Diagnostic laparoscopy to assess the degree of liver damage and determine the possibility of minimal invasive removal of the cyst was performed. Mobilization of the liver by incising the falciform ligament was produced. The possibility of performing laparoscopic pericystectomy was established. Dissection of cysts, removing of scoleces without opening their capsules and atypical resection of 4, 7 and 8 liver segments with treatment of resection zone by argon-plasma coagulation was produced. Drainage in the resection area was set. Debit of excretion by drainage per day was about 100 ml of serous-lymph excretions. Control fistulography was performed. Relations of cavity with ductal system of the liver were not revealed. The postoperative period was uneventful. After 10 days after surgical intervention multislice computed tomography was performed. Information about presence of structures in the abdominal cavity is not obtained. The patient was discharged after 12 days in a satisfactory condition.

Keywords

echinococcus, cyst, laparoscopy, pericystectomy, removal of scolexes, liver resection, liver parenchyma, abdominal cavity, minimal invasive treatment

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I. A. Soloviev, A. B. Lychev, D. A. Dymnikov, M. M. Lototskiy. The possibility of endovideosurgical treatment of a giant hydatid cysts of the liver. Bulletin of the Russian Military Medical Academy, 2017, 19(1): 61-63 DOI:

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