Page 37 - WJOLS - Surgery Journal

Alaa Bakir Raheem
OUTCOME AND FOLLOW-UP There is also diversity in the quality of the randomized

Patient follow-up in the convalescence stage were evaluatedin controlled trails. The main variable in these trails are the
following parameters:
the outpatient clinic evaluation included physical examination, Number of patient in the trail with drawl of cases studied in
abdominal sonography and liver function tests. Abdominal open is more study available due to the task of laparoscopy is
X-Ray, sinogram for the residual persisting cavity if necessary. early practiced in that the first trail of laparoscopic drainage of
Postoperative ERCP was not necessary in every patient.
liver hydatid disease was done at 1994 16,17,19,20 regarding
exclusion of cases done according to the local surgical practice
CONVERSION TO OPEN LAPAROTOMY
and laws that govern the selection of patients for safe end
Conversion to open laparotomy was performed in a very few result. Blinding also was taken in full consideration intention to

number of patient whohad 2 large hydatid cysts and abnormal treat analysis was gained a lot of time to predict a lower and
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liver function tests in the most of the mentioned studies. highest p value in the studies. Publication biases was taken the
highest respective publications and most authorized all over
COMPLICATIONS the world. Taken in to consideration the local practice variations

Bile peritonitis occurred for large cysts can be treated in areas where these studies done. 21
conservatively. This complication can be treated by laparoscopy CONCLUSION

(lavage and pericysticdrainage) or by laparotomy anaphylactic
reaction which might occur when the assembling of Minimally access surgery invade the field of liver hydatid disease

the transparent cannula over a relatively protruding cyst is and deliver excellence result in properly selected patients in

triad if this thin membrane of the cyst ruptured, whoever certain center of laparoscopy surgery and appeared to be
this complication can be successfully treated with fluids, promising in this field of newly generated surgical practice which
ephedrine, and dopamine and the postoperative convalescence is safe and effective method in selected patients. Further studies
was uneventful. In most of patients reported in most of the should be encouraged in this field because there is no
series. 13,16 universally accepted standard technique all over the world.

Atelectasis, pneumonia, and drug-induced fever as equal
as open surgery. REFERENCES

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DISCUSSION scopic treatment of hydatid cysts of the liver and spleen.
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