HEPATOBILIARY > Laparoscopic Management of Hydatid Cyst

Patient and port position: Patient placed in modified Lloyd Davies position.

Pneumoperitoneum created by veress needle through 10mm supraumbilical skin incision which was later on converted into 10mm camera port. Epigastric 10mm, RUQ-5mm, LUQ-5mm.

Steps :
Multiple superficial hydatid cyst (Total-4) were present in right lobe of liver with largest cyst measuring  8x10cm hanging from the under surface of right lobe. Betadine soaked gauges were packed in peri-hepatic area. Hydatid cyst was aspirated and 10% betadine was pushed into cyst cavity. Cyst wall opened and endocyst extracted. Superficial cyst wall excised. Biliary communication sutured by 3-0 PDS sutures. Haemestasis achieved.  Similar procedure was repeated for other 3 cysts.