caa a22 4500 475779991 CHVBK 20180406123641.0 cr unu---uuuuu 170329e20000301xx s 000 0 eng 10.1007/s004640000048 doi (NATIONALLICENCE)springer-10.1007/s004640000048 Laparoscopic treatment of hydatid cysts of the liver and spleen [Elektronische Daten] [G. Khoury, F. Abiad, T. Geagea, G. Nabout, S. Jabbour] Background: The short-term results from laparoscopic treatment of hydatid cysts of the liver and spleen were reported previously. The procedure was shown to be feasible and safe, offering the advantages of laparoscopic surgery. This is the first report on the long-term follow-up of this operation in a large group of patients. Methods: In this study, 108 hydatid cysts of the liver and spleen in 83 consecutive patients (43 males [52%] and 40 females [48%]) were approached laparoscopically. The mean age of the patients was 40 years (range, 13-85 years). There were 104 liver cysts and 4 spleen cysts. The liver cysts were located in the right lobe in 42 patients (53%), in the left lobe in 21 patients (26%) and in both lobes in 16 patients (21%). Of the 104 cysts, 44 (42%) were uniloculated and 60 (58%) were multiloculated. Results: All cysts were approached laparoscopically. The mean operative time was 80 min (range, 40-180 min). The conversion rate was 3%. The mean hospital stay was 3 days (range, 2-7 days). There were no mortalities, and complications occurred in nine patients (11%). All were managed conservatively except one patient in whom a laparotomy was needed. All patients were followed up for a mean period of 30 months (range, 4-54 months) with serological testing and ultrasonography if needed. In three patients (3.6%) recurrence of the disease developed. Conclusion: The laparoscopic approach to uncomplicated hydatid cysts of the liver and spleen is a safe and effective option with favorable long-term results. Springer-Verlag New York Inc., 2000 Key words: Hydatid disease — Laparoscopic evacuation — Liver hydatid cysts — Long-term follow-up — Percutaneous aspiration — Spleen hydatid cysts nationallicence Khoury G. Division of General Surgery, American University of Beirut Medical Center, Post Office Box 113-6044, Beirut, Lebanon, Lebanon aut Abiad F. Division of General Surgery, American University of Beirut Medical Center, Post Office Box 113-6044, Beirut, Lebanon, Lebanon aut Geagea T. Department of Surgery, Lebanese Hospital, Beirut, Lebanon, Lebanon aut Nabout G. Division of General Surgery, American University of Beirut Medical Center, Post Office Box 113-6044, Beirut, Lebanon, Lebanon aut Jabbour S. Department of Anesthesiology, American University of Beirut Medical Center, Post Office Box 113-6044, Beirut, Lebanon, Lebanon aut Surgical Endoscopy Springer-Verlag 14/3(2000-03-01), 243-245 0930-2794 14:3<243 2000 14 464 https://doi.org/10.1007/s004640000048 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000048 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Khoury G. Division of General Surgery, American University of Beirut Medical Center, Post Office Box 113-6044, Beirut, Lebanon, Lebanon aut NATIONALLICENCE 700 1- Abiad F. Division of General Surgery, American University of Beirut Medical Center, Post Office Box 113-6044, Beirut, Lebanon, Lebanon aut NATIONALLICENCE 700 1- Geagea T. Department of Surgery, Lebanese Hospital, Beirut, Lebanon, Lebanon aut NATIONALLICENCE 700 1- Nabout G. Division of General Surgery, American University of Beirut Medical Center, Post Office Box 113-6044, Beirut, Lebanon, Lebanon aut NATIONALLICENCE 700 1- Jabbour S. Department of Anesthesiology, American University of Beirut Medical Center, Post Office Box 113-6044, Beirut, Lebanon, Lebanon aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/3(2000-03-01), 243-245 0930-2794 14:3<243 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence SWISSBIB 47323310X BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer