Method for laparoscopic marsupialization of hepatic posthydatid cavity

摘要

The invention relates to medicine, particularly to surgery, and can be used for marsupialization of posthydatid cavity by the minimally invasive method after hepatic echinococcectomy.Summary of the invention consists in performing an approach via four points, namely in the infraumbilical, epigastric region, under the right costal arch and right iliac region, are consecutively introduced the optical device and the working trocars, then is isolated the hepatic hydatid cyst, is evacuated the hydatid liquid by puncture, is introduced a scolicidal solution inside the cyst with an exposure for 5…7 min, then is removed the chitinous sheath of the cyst and is treated the surface of the posthydatid cavity with disinfectant solution, afterwards is excised the free fibrous capsule of the cyst retaining a portion of a length of 0.5 cm, which is sutured to the bottom of the cavity with the formation of a tunnel through which is introduced a drainage tube, then are removed the working instruments and are sutured the wounds, and after 2…3 days is removed the drainage tube.