Laparoscopic surgery for large hydatide liver cyst after two previous laparotomies [Laparoskopska operacija velike ehinokokne ciste jetre nakon prethodno učinjene dvije laparotomije]

Bušić, Željko and Kolovrat, Marijan and Kopljar, Mario and Servis, Dražen and Čavka, Vlatka and Patrlj, Leonardo and Bušić, Njegoslav and Čavka, Mislav and Nikolić, Igor (2014) Laparoscopic surgery for large hydatide liver cyst after two previous laparotomies [Laparoskopska operacija velike ehinokokne ciste jetre nakon prethodno učinjene dvije laparotomije]. Collegium Antropologicum, 38 (2). pp. 577-581. ISSN 0350-6134

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Abstract

Laparoscopic surgery for hepatic echinococcosis is a technically difficult and demanding surgical procedure even for the most experienced abdominal surgeon. Surgery is performed after the conservative treatment with albendazole for 28 days. We report a case of laparoscopic partial pericystectomy with biliostasis and omentoplasty in a patient with two previously open surgeries (laparotomies)--right subcostal laparotomy for acute inflammation of the gallbladder and right pararectal laparotomy for perforated gangrenous appendix. The patient underwent extensive laparoscopic adhesiolysis due to pronounced intra-abdominal adhesions to gain access to a large hydatid cyst with the diameter of 11 cm. Laparoscopic surgery is much less traumatic to the patient with a better cosmetic effect.

Abstract in Croatian

Laparoskopska operacija ehinokokoze jetre je tehnički težak i zahtjevan kirurški zahvat čak i za najiskusnije abdominalne kirurge. Operacija je izvedena nakon konzervativnog liječenja albendazolom u trajanju od 28 dana. Prikazujemo slučaj laparoskopske djelomične pericistektomije s biliostazom i omentoplastikom u bolesnice s dvije prethodne otvorene operacije (laparotomije) – desna subkostalna laparotomija zbog akutne upale žučnog mjehura i desna pararektalna laparotomija zbog perforiranog gangrenoznog apendicitisa. Kod pacijenta je učinjena opsežna laparoskopska adhezioliza zbog izraženih priraslica kako bi se pristupilo velikoj hidatidnoj cisti promjera 11 cm. Laparoskopska kirurgija je mnogo manje traumatična za pacijenta s boljim kozmetičkim učinkom.

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