Laparoscopic treatment of hydatid cyst of the liver in pediatric patient

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Laparoscopic treatment of hydatid cyst of the liver in pediatric patient

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Type de vidéo

Vidéo chirurgicale

Durée

04'00''

Publication

2006-01

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Audio

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E-publication

WeBSurg.com, Jan 2006;6(01).
URL: http://www.websurg.com/doi-vd01en1889.htm

Laparoscopic treatment of hydatid cyst of the liver in pediatric patient

1. Trocar placement 00'11''

Hydatid cyst of the left lobe of the liver. Laparoscopic management of a hydatid cyst of the liver is performed in compliance with the basic rules applying to surgery for hydatidosis. This is the reason why wet packs soaked with a 10% saline hypertonic solution are applied around the liver prior to starting the procedure.

2. Puncture of hydatid cyst 00'37''

The hydatid cyst is punctured transparietally in order to sample fluids contained in the internal germinal membrane and instil small quantities of saline solution as replacement fluid. The procedure will then only start after a 15-minute wait so that all parasites are destroyed by the osmotic shock.

3. Opening of the cyst 01'03''

The pericystic cavity is opened in order to approach the internal germinal membrane.

4. Membrane extraction 01'30''

An extraction bag is placed into the peritoneal cavity in order to retrieve the internal germinal membrane, along with multiple daughter vesicles, which are small in size in the present case. These daughter vesicles are particularly dangerous, with a high risk of spillage as their content cannot be sterilized by the injection of saline inside the cavity of the internal germinal membrane. Exploration of the pericystic cavity should be thorough and every daughter vesicle should be removed. Lavage of the pericystic cavity is performed with saline. Caution should be taken when removing the daughter vesicles as these may rupture. Search for any biliary fistula should also be conducted during this exploration. In the present case, there is no fistula and capitonnage of the pericystic cavity is done with the greater omentum.

5. End of procedure 02'50''

Drainage of the pericystic cavity is carried out.