Gasless vs gaseous laparoscopy in the treatment of hepatic hydatid disease

被引:28
作者
Berberoglu, M [1 ]
Taner, S [1 ]
Dilek, ON [1 ]
Demir, A [1 ]
Sari, S [1 ]
机构
[1] ITEM, Adv Med Technol Educ & Training Ctr, TR-06420 Ankara, Turkey
来源
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1999年 / 13卷 / 12期
关键词
gasless laparoscopy; hydatid cyst; laparoscopic treatment; liver;
D O I
10.1007/PL00009619
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Despite the reduced rate of occurrence, the hydatidosis of the liver is still taking an important place in surgical practice in Asia Minor and the Middle East. Traditional techniques for performing liver cyst surgery seem to be comparatively traumatic. In this clinical study, we present our experience with laparoscopic treatment of hydatid cyst of the liver and discuss the validity of the gasless technique as a solution to carbon dioxide (CO2) ensufflation problems. Methods: All patients were prepared by administrating albendazole for 21 days preoperatively. Surgery was per formed on 87 patients under general anesthesia. Working space was obtained in 51 operations by using an abdominal wall lifting device, Laparolift(TM) (Origin Med Systems, Menlo Park, California, USA) (group 1). In 36 patients, the abdominal cavity was insufflated with CO2 gas (group 2). In all cases, hydatid cysts were identified, and gauses soaked in germicide solution were placed around them. The cysts were punctured and aspirated. Then germisid solution was injected into the cysts. The cysts walls were opened, and germinative membranes were evacuated. Results. The median operation time was 50.49 +/- 10.9 min (range, 30-75 min) in group 1 and 70.8 +/- 16 min (ranges 40-120 min) in group 2. The difference in the operative times of the two groups was significant (p < 0.01). There was no significant difference between the minor complications of the two groups. There were no deaths and no major complications or conversions to open surgery in any of the groups. There were no recurrences during follow-up time. Conclusions: The use of gasless technique for the laparoscopic treatment of liver cyst is a safe, time-saving, and promising procedure that can be applied in selected cases.
引用
收藏
页码:1195 / 1198
页数:4
相关论文
共 22 条
[1]   Laparoscopic treatment of hepatic hydatid disease [J].
Alper, A ;
Emre, A ;
Acarli, K ;
Bilge, O ;
Ozden, I ;
Ariogul, O .
JOURNAL OF LAPAROENDOSCOPIC SURGERY, 1996, 6 (01) :29-33
[2]   ABDOMINAL-WALL RETRACTION DURING LAPAROSCOPIC CHOLECYSTECTOMY [J].
ARAKI, K ;
NAMIKAWA, K ;
YAMAMOTO, H ;
MIZUTANI, J ;
DOIGUCHI, M ;
ARAI, M ;
YAMAGUCHI, T ;
UNO, K ;
IDO, Y ;
HAYASHI, N ;
OGAWA, M .
WORLD JOURNAL OF SURGERY, 1993, 17 (01) :105-108
[3]   ABDOMINAL-WALL LIFT - LOW-PRESSURE PNEUMOPERITONEUM LAPAROSCOPIC SURGERY [J].
BANTING, S ;
SHIMI, S ;
VANDERVELPEN, G ;
CUSCHIERI, A .
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1993, 7 (01) :57-59
[4]   Laparoscopic approach to hydatid liver cysts - Is it logical? Physical, experimental, and practical aspects [J].
Bickel, A ;
Daud, G ;
Urbach, D ;
Lefler, E ;
Barasch, EF ;
Eitan, A .
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1998, 12 (08) :1073-1077
[5]  
BICKEL A, 1995, SURG ENDOSC-ULTRAS, V9, P1304
[6]  
CHIN AK, 1994, J AM COLL SURGEONS, V178, P401
[7]  
ERCAN F, 1994, 2 INT C EAES MADR SP
[8]  
Gazayerli M M, 1991, Surg Laparosc Endosc, V1, P98
[9]   LAPAROSCOPIC CHOLECYSTECTOMY - AN APPROACH WITHOUT PNEUMOPERITONEUM [J].
HASHIMOTO, D ;
NAYEEM, SA ;
KAJIWARA, S ;
HOSHINO, T .
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1993, 7 (01) :54-56
[10]  
HAYAKAWA N, 1991, SURG LAPARO ENDO PER, V1, P126