Case report: Laparoscopic resection of hydatid cyst, with laparoscopic cholecystectomy and laparoscopically-assisted vaginal hysterectomy

Summary

With continued experience and expanding indications for a laparoscopic approach to surgical procedures, we see an increasing number of cases in which more than one procedure may be performed. Diagnostic laparoscopy by definition begins as an unknown, but frequently culminates in adhesiolysis and excision or ablation of endometrial lesions, occasionally including other procedures. It is rare to encounter parasitic cysts in the United States, but with increasing use of laparoscopy, and continued immigration, it is likely that the incidence of finding such disease at diagnostic laparoscopy will increase as well. The goal in such a case is the controlled and complete removal of the cyst, without complication from rupture, whether conducted laparoscopically or laparotomically. We describe a case in which the energy modality used laparoscopically, the ultrasonically activated scalpel, was selected on the basis of decreased risk of lateral thermal injury. This enabled successful removal of the hepatic hydatid cyst in a laparoscopic procedure which included cholecystectomy and laparoscopically-assisted vaginal hysterectomy (LAVH).

Key Words:

• hydatid cyst
• laparoscopy
• cholecystectomy
• hysterectomy
• cystectomy
• harmonic scalpel