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Surgical Endoscopy
Published in: Surgical Endoscopy 12/2006

01-12-2006

Palanivelu hydatid system for safe and efficacious laparoscopic management of hepatic hydatid disease

Authors: C. Palanivelu, R. Senthilkumar, K. Jani, P. S. Rajan, K. Sendhilkumar, R. Parthasarthi, S. Rajapandian

Published in: Surgical Endoscopy | Issue 12/2006

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Abstract

Background

Hydatid disease, being endemic in several areas of the world, is of interest even to surgeons in non-endemic areas because they may encounter the disease due to ease and rapidity of travel as well as immigration. We describe a new device for laparoscopic management of hepatic hydatid disease.

Methods

The special trocar–cannula system—the Palanivelu hydatid system (PHS)—and the technique of operation are described. A total of 75 patients were operated on using this technique.

Results

In 83.3% of patients, only evacuation of the hydatid cyst by the PHS was done. In 13.7%, this was followed by left lobectomy because the cysts were large, occupying almost the entire left lobe of the liver. The remnant cavity was dealt with by omentoplasty. The average follow-up period was 5.9 years, during which there were no recurrences.

Conclusions

PHS is successful in preventing spillage, evacuating the contents of hydatid cysts, performing transcystic fenestration, and for dealing with cyst–biliary communications.
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Metadata
Title
Palanivelu hydatid system for safe and efficacious laparoscopic management of hepatic hydatid disease
Authors
C. Palanivelu
R. Senthilkumar
K. Jani
P. S. Rajan
K. Sendhilkumar
R. Parthasarthi
S. Rajapandian
Publication date
01-12-2006
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 12/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-005-0274-7

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