GOVERNMENT MEDICAL COLLEGE SRINAGAR
Postgraduate Department of Minimal Access and General Surgery
TITLE
‘‘LAPAROSCOPIC MANAGEMENT OF HEPATIC HYDATID CYST’’
POSTGRADUATE
SCHOLAR
Dr Razaq Hussain
Session:2023-2026
HEAD OF DEPARTMENT GUIDE
Prof. (Dr) Iqbal Saleem Mir Dr. G. M Naikoo
Professor and Head Associate Professor
Department of Minimal Access and General Surgery Department of Minimal Access and General
Surgery
GMC Srinagar
GMC Srinagar
CONTENTS
Introduction
Aims and Objectives
Study Design
Materials and Methods
References
INTRODUCTION
Hydatid disease is a parasitic infection carried by the larvae of Echinococcus granulosus ,
which is a small tapeworm. Man acquires the disease by ingesting parasitic eggs, which develop
into hydatid cysts, usually in the liver or lung and less commonly in other organs; the most
common site of infection is the liver, with an infection rate of 50% to approximately 70%
Human infection is acquired by ingesting parasite eggs from infected animals. E g ranulosus
causes cystic echinococcosis in humans, a condition that is found throughout the world and is
endemic in large sheep-raising areas in Europe, Asia, the Mediterranean, South America, and
northern Kenya With immigration, the prevalence of the disease has increased in Europe, North
America, and particularly in northwestern China.
Benzimidazole compounds have recently been favored for medical treatment of the disease, but
surgery is still the mainstay of treatment despite advances in medical treatment and interventional
radiologic techniques .Laparoscopic surgery is a new therapeutic method for the treatment of
hepatic echinococcosis.
AIMS
To assess feasibility and effectiveness of Laparoscopy in treating Hepatic Hydatid Cyst
OBJECTIVES
Operative time period
Perioperative surgical
Hospital stay
STUDY DESIGN
The study design will be carried in the Department of Minimal access and
General surgery GMC Srinagar
This will be a prospective observational study design
MATERIALS & METHODS
All patients within the included age group shall be assessed by thorough history
taking especially of occupational history family history and clinical examination will
undergo clinical and laboratory studies ( Blood grouping, complete blood count,
coagulation studies, LFT, hepatitis serology, urine R/E)and ECG. Serological evaluation
will be done by ELISA.Preoperative radiological studies will include chest radiography,
abdominal ultrasonography, CECT computed tomography. Sonological data will be
interpreted based on the type of cyst according to Gharbi classification.Cysts will also
be staged according to the world health organization international working group on
Echinococcus (WHO-IWGE) standardized classification for US. All patient will receive
Albendazole 10-15mg/kg/day for 2 week in the preoperative period and underwent
Laparoscopic management for hepatic hydatid cyst.
INCLUSION CRITERIA
Age >18 years <65years
The patients diagnosed with the hepatic CE by
Ultrasonography or CT
EXCLUSION CRITERIA
Non hepatic hydatid cyst
Deep seated cyst & posterior located cyst (seg I,
VII , VIII)
Alveolar hydatid
Cyst diameter <3cm >14cm
REFRENCES
1.C Palanivelu, MCh, MNA, MS, Kalpesh Jani, MS, DNB, MNA, MS, Vijaykumar
Malladi, MS, R. Senthilkumar, MS, P. S. Rajan, MS, K. Sendhilkumar, MS, R.
Parthasarthi, MBBS, and Alfie Kavalakat, MS, DNB
Laparoscopic Management of Hepatic Hydatid Disease. Ref(
https://doi.org/10.1007/s12262-014-1064-z)
2.Mehmet Bayrak and Yasemin Altintas Current approaches in the surgical
treatment of liver hydatid disease: single center experience. Ref(
https://doi.org/10.1186/s12893-019-0553-1)
3. Aftab S. Shaikh, Amarjeet E. Tandur, Yugal S. Pathrabe, Dhiraj S. Patil ,Ajay H.
Bhandarwar, Nilofar A. Shaikh Laparoscopic management in hydatid disease of
liver:a series of 35 cases. Ref(DOI: https://dx.doi.org/10.18203/2349-2902.isj20211097)
4.Rooh-ul-Muqim, Khawar Kamran, Jawad Khalil, Tamjeed Gul and Saira
Farid:Laparoscopic Treatment of Hepatic Hydatid Cyst. Ref(
https://www.jcpsp.pk/archive/2011/Aug2011/06.pdf
FORM OF INFORMED CONSENT
I________S/D/W of ________R/O _________
Hereby declare that I give informed consent to participate in the thesis study titled ‘‘LAPAROSCOPIC
MANAGEMENT OF HEPATIC HYDATID CYST’’
I have been fully explained about the procedure to be followed for conducting the study in my local and Urdu language.
I give full consent for being enrolled in the above study and I reserve my right to withdraw from the study whenever I wish
without prejudice of my right to undergo further treatment at GMC Srinagar & associated hospitals.
Name
Signature of patient.
Date
