TRANSTHORACIC APPROACH TO HYDATID CYSTS IN THE DOME OF THE LIVER

Authors : Arif Osman TOKAT, Turgut ÇAVUŞOĞLU, Sezgin KARASU, Aziz Mutlu BARLAS, Kemal KISMET

Pages : 165-168

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Publication Date : 2018-12-26

Article Type : Research Paper

Abstract :Background and aim: The cases of 10 liver hydatid cysts without thoracic involvement are presented that were operated on with a transthoracic approach and the results are reviewed in the light of the relevant literature. Material and methods: A total of 10 cases, who were operated on using a transthoracic approach (5 male, 5 female), were evaluated retrospectively. Results: The mean age was 37.7 years (range 16-52 years). One female had 3 cysts, 1 had 2 cysts, and a solitary cyst was present in the remaining patients. All patients were operated on transthoracally. The postoperative course was uneventful in all patients except the 1 case that had 3 hydatid cysts, which was complicated with prolonged drainage from the chest tube. This drainage decreased gradually over 20 days and the chest tube was removed on the postoperative 21st day. The average hospital stay was 9.4 days (range, 6 - 24 days). Conclusion: Hydatid cysts located in the dome of the liver were safely operated on using a transthoracic approach and no serious complications were encountered. It was concluded that if the abdominal approach seems to be difficult, a transthoracic approach should be preferred in order to obtain the hydatid cyst safely and without difficulty.
Keywords : Hydatid cyst Transthoracic approach Liver Complication