Laparoscopic management of hydatid cysts using long ribbon gauze:An initial experience of 37 consecutive cases
作者机构：Department of Surgical GastroenterologySanjay Gandhi Postgraduate Institute of Medical ScienceLucknow 226014India
出 版 物：《Laparoscopic, Endoscopic and Robotic Surgery》 (腔镜、内镜与机器人外科（英文）)
年 卷 期：2023年第6卷第3期
页 面：109-114页
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Hydatid cyst Laparoscopic partial pericystectomy Long ribbon gauze
摘 要：Objective:The laparoscopic approach is becoming the standard of care for many surgical ***,in the case of hydatid cysts,laparoscopic management is challenging due to the risk of spillage of hydatid fluid,which can cause an anaphylactic reaction and ***,we report our initial experience with laparoscopic partial pericystectomy of hydatid cysts using long ribbon gauze to decrease intra-operative ***:This was a retrospective study(between January 2010 and December 2021)in the Department of Surgical Gastroenterology,Sanjay Gandhi Postgraduate Institute of Medical Science,a tertiary care referral center in northern ***,we have included 37 consecutive patients with hydatid cysts of the liver and *** was made by laboratory and imaging findings(abdominal sonography or contrast enhanced CT scans).All patients were managed with laparoscopic partial ***,a betadine-soaked long ribbon gauze,high-pressure suction canula,and an endo-bag were used in all *** collected data included patient demography,location,size,and number of cysts,WHO type,operative time,blood loss,postoperative complications,hospital stay and ***:In our series,the mean age was 38.4±13.6 years,15(40.5%)were men and 22(59.5%)were *** right lobe of the liver was the most commonly affected site(21,56.8%).The mean operative time was 80.0±32.0 min,and intraoperative blood loss was 23.6±11.5 *** leak was present in 6(16.2%)*** was no *** hospital stay was 5(3,9)days,and no recurrence was observed at a median follow-up of 36 ***:Laparoscopic partial pericystectomy using this technique is safe in the management of hydatid ***,proper packing and safe removal of soaked gauzes can minimize the incidence of postoperative complications and recurrence.
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