ÖZET

Cerrahi teknoloji ve ekipmanlardaki hızlı gelişmelere rağmen karaciğer hidatozu (LH) tedavisinde laparoskopi yaygın olarak uygulanmamaktadır. Burada preoperatif görüntülemeye dayanarak laparoskopik radikal cerrahi ile tedavi edilen bir LH olgusunu sunuyoruz. 24 yaşında kadın hasta karaciğer kist hidatik nedeniyle hastanemize sevk edildi. Preoperatif bilgisayarlı tomografide 75 mm büyüklüğünde, karaciğer segment 5 - 6’da tutulum gösteren ve safra kesesine adheze laminer membranlı hidatik kist görüldü. Hastaya, ponksiyon-aspirasyon-enjeksiyon-reaspirasyon işleminin başarısız olması üzerine laparoskopik perisistektomi ve kolesistektomi uygulandı. Hasta postoperatif 1. günde sorunsuz taburcu edildi. Seçilmiş olgularda parazitlerin tamamen yok edilmesi için tek tedavi seçeneği total perisistektomidir. Özellikle periferik yerleşimli, majör duktal yapılar ve damarlarla ilişkisi olmayan, 10 cm’den küçük karaciğer kist hidatik olgularında laparoskopik yaklaşım güvenle uygulanabilir.

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Karaciğer Hidatik Kist Olgusunda Laparoskopik Perikistektomi

ÖZET

References