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. 2023 Jan;12(1):32-35.
doi: 10.4103/jfmpc.jfmpc_2145_21. Epub 2023 Feb 15.

Liver dome hydatid cyst surgery: Laparotomy or thoracotomy?

Manouchehr Aghajanzadeh  1 , Mohammad Reza Asgary  1 , Hosein Hemmati  1 , Ghazaleh Hemmati  2 , Mohammad Mahdi Asgari  1
Affiliations

Liver dome hydatid cyst surgery: Laparotomy or thoracotomy?

Manouchehr Aghajanzadeh et al. J Family Med Prim Care. 2023 Jan.

Abstract

Background: The liver is the most common organ of the body that is at risk of getting affected by hydatid cyst (75%). All lobes of the liver can be involved with the formation of hydatid cyst, but the right lobe is more involved than the left lobe. The rate of involvement of liver dome and segments 7 and 8 of the right lobe has not been reported so far, but the best treatment for liver hydatid cyst has been found to be surgery.

Materials and methods: In this study, 240 patients with liver hydatid cyst underwent surgery from 2005 to 2017. In this retrospective study, the variables of gender, age, number of liver cysts, involvement of lobe and segments, simultaneous involvement of liver and lung, laparotomy, thoracotomy, the number of patients referred due to the lack of finding cysts in laparotomy, and surgical complications were analyzed.

Results: The results showed that the majority of patients were males with age ranging from 8 to 68 years. Right lobe involvement was observed in most of the patients. About 62 patients showed involvement of liver dome and segments 7 and 8. Therefore, 62 patients underwent thoracotomy according to the criteria introduced and the rest of the patients (n = 178) underwent laparotomy. The results showed that there was a potential for capitonnage in 46 patients in thoracotomy. The pain score was 4-5 according to the VAS criterion. The rate of using analgesic drug did not show significant difference between the two methods.

Conclusion: During the manipulation, cysts might be ruptured and give rise to complications such as spread of the disease, shock, and anaphylaxis, which may be followed by legal complaints. Therefore, in order to perform the surgery successfully, a new method along with computed tomography (CT) scan has been introduced in this study, which can be very helpful.

Keywords: Laparoscopy; laparotomy; liver hydatid cyst; thoracoscopy; thoracotomy.

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Conflict of interest statement

There are no conflicts of interest.

Figures

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Figure 1
Liver hydatid cyst
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References

    1. Aghajanzadeh M, Hassanzadeh R, Rimaz S, Hemmati H, Delshad MSE, Rad AM. Managements and outcome of complicated liver hydatid cysts. Clin Surg. 2017;2:1820.
    1. Aghajanzadeh M, Safarpoor F, Amani H, Alavi A. One-stage procedure for lung and liver hydatid cysts. Asian Cardiovasc Thorac Ann. 2008;16:392–5. - PubMed
    1. Kumbhar US, Satyam G, Bhargav P, Chigurupati VP. A simplified protocol of combined thoracoscopy and laparoscopic excision for large subdiaphragmatic hepatic hydatid cysts. J Minim Access Surg. 2013;9:141–4. - PMC - PubMed
    1. Aghajanzadeh M, Karimian M, Segatoleslami ZS, Manshori S, Hassanzadeh R, Marasi T. Primary isolated hydatid cyst in trapezes muscle:A extremely rare site. Ann Clin Pathol. 2017;5:1111.
    1. Biluts H, Minas M, Bekele A. Hydatid disease of the liver:A 12 year experience of surgical management. East Cent Afr J Surg. 2006;11:54–60.