Laparoscopic approach of hepatic hydatid double cyst in pediatric patient: difficulties, indications and limitations
Isabela M. Drăghici1,2, Maria D. Popescu1, Constantin C. Pătru1, Anca M. Raicu2, Roxana Boloagă2, Liviu Drăghici1,3
1Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
2Maria Sklodowska Curie Emergency Clinical Hospital, Department of Pediatric Surgery, Bucharest, Romania
3Sf. Ioan Emergency Clinical Hospital, Department of General Surgery, Bucharest, Romania
Purpose: Laparoscopic management analysis of a rare condition having potentially severe evolution, seen in pediatric surgical pathology.
Aims: Outlining the optimal surgical approach method of hepatic hydatid double cyst and the laparoscopic method’s limitations.
Materials and Methods: The patient is a 6 years old girl that presented with two simultaneous giant hepatic hydatid cysts (segments VII-VIII), having close vicinity to the right branch of portal vein and to hepatic veins; she benefited from a single stage partial pericystectomy Lagrot performed by laparoscopy.
Results: The procedure had no intraoperative accidents or incidents. Had good postoperative evolution without immediate or late complications. Trocars positioning had been adapted to the patient’s size and cysts topography.
Conclusions: The laparoscopic treatment is feasible and safe, but is not yet the gold standard for a hepatic hydatid disease due to certain inconveniences.