Modified capitonage in partial cystectomy performed for liver hydatid disease: report of 2 cases

Several techniques have been described in liver hydatid disease surgery, with most well known partial cystectomy, capitonage and introflexion. We present a technical modification on open partial cystectomy for liver hydatid disease. We performed this operation in 2 patients with liver echinococcosis...

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Bibliographic Details
Published in:BMC surgery 2004-06, Vol.4 (1), p.8-8, Article 8
Main Authors: Filippou, Dimitrios K, Kolimpiris, Chariton, Anemodouras, Nikolaos, Rizos, Spiros
Format: Article
Language:English
Subjects:
Albendazole - therapeutic use
Anthelmintics - therapeutic use
Cystectomy - methods
echinococcosis
Echinococcosis, Hepatic - diagnosis
Echinococcosis, Hepatic - drug therapy
Echinococcosis, Hepatic - surgery
Echinococcus
Female
Humans
hydatid disease
Male
Middle Aged
partial cystectomy
Premedication
surgical treatment of hydatid disease
Technical Advance
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Several techniques have been described in liver hydatid disease surgery, with most well known partial cystectomy, capitonage and introflexion. We present a technical modification on open partial cystectomy for liver hydatid disease. We performed this operation in 2 patients with liver echinococcosis. The cyst is being unroofed and evacuated from the daughter cysts. The identified bile vessels ligated. The remnants of the anterior wall (capsule of the cyst) are anchored with sutures in the posterior wall in a manner that the cavity of the cyst disappears. In both patients the disease eradicated. No postoperative complications were observed including bile leaking and/or abscess formation. Our technique helps in the fast, and effective mobilization of the patient, as well as in the minimization of postoperative bile leaking.
ISSN:1471-2482
1471-2482
DOI:10.1186/1471-2482-4-8