WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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  • Google Scholar
  • Index Copernicus
  • SOCOLAR, China
  • Research Bible, Fuchu, Tokyo. JAPAN
  • Cosmos Impact Factor
  • Scientific Indexing Services (SIS)
  • UDLedge Science Citation Index
  • International Impact Factor Services
  • International Society for Research Activity (ISRA) Journal Impact Factor (JIF)
  • IFSIJ Measure of Journal Quality
  • Scientific Journal Impact Factor (SJIF)
  • International Scientific Indexing, UAE (ISI) (Under Process)
  • International Impact Factor Services (IIFS)
  • Web of Science Group (Under Process)
  • Directory of Research Journals Indexing
  • Scholar Article Journal Index (SAJI)
  • International Scientific Indexing ( ISI )
  • Academia
  • Scope Database

Abstract

THE OPTIMAL MANAGEMENT OF HEPATIC HYDATID CYSTS. COMPARATIVE STUDY OF LAPAROSCOPIC AND OPEN SURGERY

*Dr. Mohamad Faiz Alabras

ABSTRACT

Objective: Echinococcosis is caused by parasite called Echinococcus granulosus. The disease is widespread in Syria Echinococcosis is cyclozoonosis caused by the larval stages (metacestode) of cestodes belonging to the genus Echinococcus. Humans are the intermediate host(dead end) and animals are both intermediate and definitive hosts. The most common site of occurrence of hydatid cyst in the humans, is the liver (from 50 to 70%). Surgery remains the mainstay of therapy. Whether open or laparoscopic surgery, should offer the lowest morbidity, mortality, and recurrence rates. Methods: Retrospective evaluation of 144 patients with liver hydatid cyst in the period between January 2021 and november 2022 in Damascus University Hospitals (AlAssad, AlMouassat). Results & Discussion: The mean operative time was 80 min and 50 min in open and laporascopy surgery. The mean hospital stay was 7 days in open surgery versus 3 days in laporascopic surgery. 10% patients were shifted from laparoscopic to open surgery. Persistent biliary fistula was seen in (16%) patients in open and one (11%) patient in laporascopic all patients in both groups needed endoscopic retrograde cholangiopancreatography with sphincterotomy for fistula closure. Using the omentum was the best for residual cavity. Conclusion: Both laparoscopic and open approaches are safe and effective. Overall laparoscopic management of liver hydatid cyst is cost effective in terms of early mobilization, early discharge and early resumption of work along with cosmetic benefit. The laparoscopic management offers a better alternative to conventional open surgery for the management of liver hydatid cysts and is worthy to be considered for suitable situations. Treatment with laparoscopy require preoperative perfect diagnosis and location of liver hydatid cyst. Intra operative bleeding and slightly more operative time can be overcome by experienced surgeon with expert team in laparoscopy.

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