Total Pericystectomy in Liver Echynococcal Cysts Using Bipolar Sealing Coupled with Saline Device

Parpounas Constantinos
2017 Journal of Liver Research Disorders & Therapy  
Aim: To evaluate the safety of bipolar sealing coupled with saline device, offering transcollation technology, in the radical procedure of total pericystectomy in liver echinococcal cysts. Patients and Methods: 15 patients with liver echynococcal cysts underwent total pericystectomy using Bipolar Sealing Coupled with Saline Device. Additionally, two patients were treated with major hepatic excision, but these patients were not included because those cases were beyond the scope of this
more » ... . Our main goal was to evaluate the safety of the procedure regarding perioperative bleeding, postoperative biliary leakage and abscess formation. Our secondary goal was to observe echinococcal cyst relapse after a period of 10 to 36month follow up. Results: All fifteen patients underwent total pericystectomy of liver echinococcal cysts, eleven with open surgery and two laparoscopically. Resection time was dependent upon the number, complexity and location of the cysts. Blood loss was minimal and blood transfusion was not required, neither intraoperatively nor postoperatively. Mortality was zero. No postoperative bile leakage or abscess formation was noted. No echinococcal cyst relapse was observed. Conclusion: Total pericystectomy in liver echinococcal cysts using bipolar sealing coupled with saline device can be considered a safe radical technique, as it allows completion of the procedure with minimal blood loss. Further studies are needed to confirm our preliminary results.
doi:10.15406/jlrdt.2017.03.00077 fatcat:n5goe2bpsfbslpwjpmilwr2hoi