Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
J Pediatr Surg. 2012 Sep;47(9):1772-4. doi: 10.1016/j.jpedsurg.2012.05.021.
To describe a technique used for removal of hepatic hydatid cyst laparoscopically.
The removal of hydatid membranes was achieved by inserting a 10-mm port right above the cyst. The port is made to enter the cyst, and the membranes are removed without any contact to outer surface, thus avoiding peritoneal spillage.
The technique was used in 6 patients. Mean age was 3.5 years, range being. 2.5 to 6 years. Three patients had solitary cyst in the right lobe, and 2, in left lobe. One had multiple cyst involving both right and left lobes. Follow-up is of mean 6 months. There is no recurrence or evidence of new cyst owing to peritoneal seeding.
Safe extraction of hydatid membranes during laparoscopy can be done by directly placing the port within the decompressed cyst and removing the membranes with minimal use of suction. The port-in-cyst technique excludes any possibility of peritoneal seeding, during hydatid removal which may lead to metachronous recurrence in the peritoneum.
描述一种用于腹腔镜下肝包虫囊肿切除的技术。
通过在囊肿上方插入一个 10mm 的端口来取出包虫膜。该端口进入囊肿内部，将膜取出而不与外表面接触，从而避免了腹膜渗漏。
该技术在 6 名患者中使用。平均年龄为 3.5 岁，范围为 2.5 至 6 岁。3 名患者的囊肿位于右叶，2 名患者的囊肿位于左叶。1 名患者的囊肿累及左右两叶。平均随访 6 个月。由于没有腹膜播种，没有复发或新囊肿的证据。
通过直接将端口置于减压囊肿内并使用最小的吸力取出膜，可以在腹腔镜下安全地提取包虫膜。端口内囊肿技术排除了在包虫清除过程中腹膜播种的任何可能性，这可能导致腹膜内的同时复发。
