Turkish Journal of Surgery

Turkish Journal of Surgery

ISSN: 2564-6850
e-ISSN: 2564-7032

 

Saket Kumar, Rugved Kulkarni, Nikhil Chopra, Abhijit Chandra

Department of Surgical Gastroenterology, King George's Medical University School of Medicine, Lucknow, India

Keywords: Hydatid cyst, laparoscopic, cysto-biliary communication, clipping, bile leak

Abstract

Hydatid disease is a parasitic zoonosis caused by the larval form of the Echinococcus worm. Hepatic hydatidosis is the most common form of disease in humans. Centrally located, large hydatid cysts have the tendency to rupture into the adjoining bile duct and form a fistulous communication. Suture closure of the cysto-biliary communication detected during surgery is recommended to avoid postoperative complications related to bile leak. In the era of minimally invasive surgery, laparoscopic management of the cysto-biliary communication can be challenging, and laparoscopic suturing may not always be feasible. Postoperative endoscopic biliary decompression is necessary in such situations, but it has its own set of potential risk and complications. In this case report, we present a simple and easy technique for laparoscopic closure of the cysto-biliary communication when suture ligation is technically not possible.

Cite this paper as: Saket K, Kulkarni R, Chopra N, Chandra A. Laparoscopic management of hydatid cysts with biliary communication: Clips may rescue when suture fails- report of 3 cases. Turk J Surg 2017; 10.5152/turkjsurg.2018.4107.

Peer Review

Externally peer-reviewed.

Author Contributions

Concept - S.K., A.C.; Design - S.K., A.C., N.C., R.K.; Supervision - S.K., A.C.; Resource - R.K., N.C.; Materials - S.K., R.K., A.C.; Data Collection and/or Processing - S.K., R.K., N.C., A.C.; Literature Search - S.K., R.K., N.C.; Writing Manuscript - S.K., R.K., N.C.; Critical Reviews - S.K., A.C.

Conflict of Interest

The authors have no conflicts of interest to declare.

Financial Disclosure

The authors declared that this study has received no financial support.