A new surgical treatment method for liver hydatid cyst treatment: laparoscopic PAIR and drainage
EAES Academy. Uzunkoy A. 07/05/22; 363056; P100
CLICK HERE TO LOGIN
REGULAR CONTENT
REGULAR CONTENT
Login now to access Regular content available to all registered users.
Abstract
Discussion Forum (0)
Rate & Comment (0)
Aims:
In the treatment of liver hydatid cyst, the imaging-guided PAIR (percutaneos aspiration injection and reaspiration) method has advantages such as avoiding the complications of general anesthesia and laparotomy. However, it is not possible to completely evacuate the contents of the cyst in the PAIR method The results of the patients who underwent surgery with this new technique developed by me in order to combine the advantages of both PAIR and laparoscopy are presented.
Methods:
All of the cases were performed by a single surgeon between 2008 and 2021. This technique was applied to the cases that were not suitable for PAIR, had no contraindications for laparoscopic surgery, and were thought to be accessible cysts with a laparoscopic PAIR. Hospital records were evaluated retrospectively.
Technique: The gases with povidon iodine solution were placed around the cyst. The cyst content was evacuated with a percutaneously inserted Verres needle and hypertonic saline or povidone iodine solution was given into cyst cavity. After waiting, all the fluid was aspirated. The top of the cyst was punctured with the cautery with aspirator and aspirated cyst content. Camera was entered into cyst cavity, and all the residues were evacuated and investigated for bile leakage.. In cases with more than one cyst, this procedure was applied for each cyst. Perioperative ultrasonography was used in cysts that could not be seen laparoscopically. In cases that could not be reached with laparoscopic PAIR, the cyst content was aspirated intraabdominally.
Results:
Fiftytwo cases who underwent laparoscopic PAIR and drainage were evaluated. There was more than one cyst in 36.5 % cases. The procedure was completed laparoscopically in 96 % of the cases. In 4 % case with more than four multiple cysts was converted open surgical method. One case was evaluated as recurrence. The complication rate was 7.6 % and no mortality was observed.
Conclusion:
The laparoscopic PAIR method that I developed has the advantages of both laparoscopy and the PAIR method, and I believe that it is a safe method in the treatment of hydatid liver cyst, which is not particularly suitable for PAIR and has many cysts.
In the treatment of liver hydatid cyst, the imaging-guided PAIR (percutaneos aspiration injection and reaspiration) method has advantages such as avoiding the complications of general anesthesia and laparotomy. However, it is not possible to completely evacuate the contents of the cyst in the PAIR method The results of the patients who underwent surgery with this new technique developed by me in order to combine the advantages of both PAIR and laparoscopy are presented.
Methods:
All of the cases were performed by a single surgeon between 2008 and 2021. This technique was applied to the cases that were not suitable for PAIR, had no contraindications for laparoscopic surgery, and were thought to be accessible cysts with a laparoscopic PAIR. Hospital records were evaluated retrospectively.
Technique: The gases with povidon iodine solution were placed around the cyst. The cyst content was evacuated with a percutaneously inserted Verres needle and hypertonic saline or povidone iodine solution was given into cyst cavity. After waiting, all the fluid was aspirated. The top of the cyst was punctured with the cautery with aspirator and aspirated cyst content. Camera was entered into cyst cavity, and all the residues were evacuated and investigated for bile leakage.. In cases with more than one cyst, this procedure was applied for each cyst. Perioperative ultrasonography was used in cysts that could not be seen laparoscopically. In cases that could not be reached with laparoscopic PAIR, the cyst content was aspirated intraabdominally.
Results:
Fiftytwo cases who underwent laparoscopic PAIR and drainage were evaluated. There was more than one cyst in 36.5 % cases. The procedure was completed laparoscopically in 96 % of the cases. In 4 % case with more than four multiple cysts was converted open surgical method. One case was evaluated as recurrence. The complication rate was 7.6 % and no mortality was observed.
Conclusion:
The laparoscopic PAIR method that I developed has the advantages of both laparoscopy and the PAIR method, and I believe that it is a safe method in the treatment of hydatid liver cyst, which is not particularly suitable for PAIR and has many cysts.
Aims:
In the treatment of liver hydatid cyst, the imaging-guided PAIR (percutaneos aspiration injection and reaspiration) method has advantages such as avoiding the complications of general anesthesia and laparotomy. However, it is not possible to completely evacuate the contents of the cyst in the PAIR method The results of the patients who underwent surgery with this new technique developed by me in order to combine the advantages of both PAIR and laparoscopy are presented.
Methods:
All of the cases were performed by a single surgeon between 2008 and 2021. This technique was applied to the cases that were not suitable for PAIR, had no contraindications for laparoscopic surgery, and were thought to be accessible cysts with a laparoscopic PAIR. Hospital records were evaluated retrospectively.
Technique: The gases with povidon iodine solution were placed around the cyst. The cyst content was evacuated with a percutaneously inserted Verres needle and hypertonic saline or povidone iodine solution was given into cyst cavity. After waiting, all the fluid was aspirated. The top of the cyst was punctured with the cautery with aspirator and aspirated cyst content. Camera was entered into cyst cavity, and all the residues were evacuated and investigated for bile leakage.. In cases with more than one cyst, this procedure was applied for each cyst. Perioperative ultrasonography was used in cysts that could not be seen laparoscopically. In cases that could not be reached with laparoscopic PAIR, the cyst content was aspirated intraabdominally.
Results:
Fiftytwo cases who underwent laparoscopic PAIR and drainage were evaluated. There was more than one cyst in 36.5 % cases. The procedure was completed laparoscopically in 96 % of the cases. In 4 % case with more than four multiple cysts was converted open surgical method. One case was evaluated as recurrence. The complication rate was 7.6 % and no mortality was observed.
Conclusion:
The laparoscopic PAIR method that I developed has the advantages of both laparoscopy and the PAIR method, and I believe that it is a safe method in the treatment of hydatid liver cyst, which is not particularly suitable for PAIR and has many cysts.
In the treatment of liver hydatid cyst, the imaging-guided PAIR (percutaneos aspiration injection and reaspiration) method has advantages such as avoiding the complications of general anesthesia and laparotomy. However, it is not possible to completely evacuate the contents of the cyst in the PAIR method The results of the patients who underwent surgery with this new technique developed by me in order to combine the advantages of both PAIR and laparoscopy are presented.
Methods:
All of the cases were performed by a single surgeon between 2008 and 2021. This technique was applied to the cases that were not suitable for PAIR, had no contraindications for laparoscopic surgery, and were thought to be accessible cysts with a laparoscopic PAIR. Hospital records were evaluated retrospectively.
Technique: The gases with povidon iodine solution were placed around the cyst. The cyst content was evacuated with a percutaneously inserted Verres needle and hypertonic saline or povidone iodine solution was given into cyst cavity. After waiting, all the fluid was aspirated. The top of the cyst was punctured with the cautery with aspirator and aspirated cyst content. Camera was entered into cyst cavity, and all the residues were evacuated and investigated for bile leakage.. In cases with more than one cyst, this procedure was applied for each cyst. Perioperative ultrasonography was used in cysts that could not be seen laparoscopically. In cases that could not be reached with laparoscopic PAIR, the cyst content was aspirated intraabdominally.
Results:
Fiftytwo cases who underwent laparoscopic PAIR and drainage were evaluated. There was more than one cyst in 36.5 % cases. The procedure was completed laparoscopically in 96 % of the cases. In 4 % case with more than four multiple cysts was converted open surgical method. One case was evaluated as recurrence. The complication rate was 7.6 % and no mortality was observed.
Conclusion:
The laparoscopic PAIR method that I developed has the advantages of both laparoscopy and the PAIR method, and I believe that it is a safe method in the treatment of hydatid liver cyst, which is not particularly suitable for PAIR and has many cysts.
Code of conduct/disclaimer available in General Terms & Conditions
{{ help_message }}
{{filter}}