A new instrument, the "Perfore-Aspirator" for laparoscopic treatment of hydatid cysts of the liver

• Published in: Surgical laparoscopy, endoscopy & percutaneous techniques Vol. 13; no. 2; pp. 80 - 82
• Main Authors: Zengin, Kagan, Unal, Ethem, Karabicak, Ilhan, Apaydin, Berat, Taskin, Mustafa
• Format: Journal Article
• Language: English
• Published: United States 01-04-2003
• Subjects: Adult; Drainage - instrumentation; Echinococcosis, Hepatic - pathology; Echinococcosis, Hepatic - surgery; Female; Humans; Laparoscopes; Male
• ISSN: 1530-4515
• DOI: 10.1097/00129689-200304000-00004

The authors introduce a new instrument functioning as both perforator and aspirator in the laparoscopic management of hepatic hydatid cysts. Between January 1998 and January 2002, 11 laparoscopic cystotomy + partial cystectomy + drainage procedures were performed for eight consecutive patients. Eight of the cysts were located in the right lobe, and the remaining three in the left. The average diameter (+/-SD) of the cysts was 9.6 +/- 3.66 cm, and the mean age of the patients was 31.3 +/- 7.24 years. The diagnosis was confirmed by ultrasonography and/or computerized tomography. The procedure was performed with the help of three ports. The "perfore-aspirator" instrument (Bahadir Tibbi Aletler A. S., Samsun, Turkey) was introduced through the 10-mm trocar at the subcostal area, and the cystotomy procedure was done with success. Then, a partial cystectomy procedure was performed with the use of a grasper and scissors attached to an electrocautery device. The average hospitalization period was 5 +/- 1.69 days. No major morbidity or mortality was seen. All patients were treated with albendazole preoperatively and postoperatively.