A 50-year-old male patient reported intermittent pain in the right hypochondrium. Ultrasound of the liver detected a 10cm walled mass. The study was completed with a CT scan, which revealed a 10×9.7×11cm mass in liver segment VII and another mass with similar characteristics in segment V, compatible with hydatid cysts (Fig. 1). Serology was positive for echinococcosis, so a surgical cystopericystectomy was scheduled. The standard technique is based on the use of an Ochsner or Devé trocar to empty the cysts, although these trocars occasionally become obstructed, which increases the risk for leakage of the cyst contents. Instead, we decided to use a 12mm laparoscopy trocar that was attached to the cyst with a purse-string suture and through which a cannula was connected to suction to empty the cyst, obtaining 700ml (Fig. 2A and B). The lateral CO2 insufflation valve was used to administer hypertonic saline solution, which was later suctioned (Fig. 3). After sterilisation and aspiration, the cystopericystectomy was performed.
Please cite this article as: Vázquez-Melero A, González Serrano C, Cruz González MIC, Ruiz Carballo S. Vaciamiento de quiste hidatídico hepático a través de trocar de laparoscopia. Cir Esp. 2016;94:e29.
