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Open Access Technical advance

Modified capitonage in partial cystectomy performed for liver hydatid disease: Report of 2 cases

Dimitrios K Filippou1*, Chariton Kolimpiris2, Nikolaos Anemodouras3 and Spiros Rizos1

Author Affiliations

1 1st Surgical Department, Piraeus General Hospital "Tzaneion", Tzanni & Afentouli str, Piraeus Greece

2 1st Surgical Department, Athens General Hospital "Agia Olga", 3-5 Agias Olgas str, Nea Ionia, Athens, Greece

3 Department of General Surgery, Livadias General Hospital, Livadia, Greece

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BMC Surgery 2004, 4:8  doi:10.1186/1471-2482-4-8

Published: 28 June 2004

Abstract

Background

Several techniques have been described in liver hydatid disease surgery, with most well known partial cystectomy, capitonage and introflexion.

Methods

We present a technical modification on open partial cystectomy for liver hydatid disease. We performed this operation in 2 patients with liver echinococcosis. The cyst is being unroofed and evacuated from the daughter cysts. The identified bile vessels ligated. The remnants of the anterior wall (capsule of the cyst) are anchored with sutures in the posterior wall in a manner that the cavity of the cyst disappears.

Results

In both patients the disease eradicated. No postoperative complications were observed including bile leaking and/or abscess formation.

Conclusions

Our technique helps in the fast, and effective mobilization of the patient, as well as in the minimization of postoperative bile leaking.

Keywords:
partial cystectomy; hydatid disease; echinococcosis; surgical treatment of hydatid disease