Modified capitonage in partial cystectomy performed for liver hydatid disease: report of 2 cases

BMC Surgery
Dimitrios K FilippouSpiros Rizos

Abstract

Several techniques have been described in liver hydatid disease surgery, with most well known partial cystectomy, capitonage and introflexion. We present a technical modification on open partial cystectomy for liver hydatid disease. We performed this operation in 2 patients with liver echinococcosis. The cyst is being unroofed and evacuated from the daughter cysts. The identified bile vessels ligated. The remnants of the anterior wall (capsule of the cyst) are anchored with sutures in the posterior wall in a manner that the cavity of the cyst disappears. In both patients the disease eradicated. No postoperative complications were observed including bile leaking and/or abscess formation. Our technique helps in the fast, and effective mobilization of the patient, as well as in the minimization of postoperative bile leaking.

References

Apr 1, 1991·Archives of Surgery·P MagistrelliA Picciocchi
Nov 1, 1983·The American Journal of Tropical Medicine and Hygiene·J TselentisN Matsaniotis
Dec 1, 1996·Journal of Laparoendoscopic Surgery·Z CalaZ Rasic
Sep 1, 1999·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·J ProusalidisO Aletras
Mar 5, 2002·Archives of Surgery·Cuneyt KayaalpMusa Akoglu
Jun 8, 2002·World Journal of Surgery·George SkroubisJohn Androulakis

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Citations

May 31, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Camran NezhatLouise P King
Feb 1, 2014·Transactions of the Royal Society of Tropical Medicine and Hygiene·Anshuman PandeyShakeel Masood
Sep 11, 2020·Case Reports in Pediatrics·Ashish Lal ShresthaSaurav Krishna Malla
Dec 13, 2006·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Dimitrios FilippouVassilios Papadopoulos

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