Abstract
An: 2010, Nr.2, Articol Nr. 13
Title: 

SURGICAL ANATOMY OF HYDATIC CYST LOCATED IN THE CAUDATE LOBE: CASE REPORT

Authors: 

      C. Tarnovetchi, M. Blanaru - Pediatric Surgery Service of Bacau County Hospital
      SURGICAL ANATOMY OF HYDATIC CYST LOCATED IN THE CAUDATE LOBE: CASE REPORT (Abstract): A 13-year-old male patient, presented with intermittent abdominal pain for 2 years. Abdominal sonography, showed a multiloculated cystic mass in the caudate lobe of liver with some punctate calcifications at the peripheral wall and thickened septa. Under the impression of hepatic hydatid cyst, the patient underwent surgery with a tissue sparing procedure - partial pericystectomy (Lagrot technique). Histological study of the lesion showed a cyst with many daughter cysts lying free in the cyst fluid. In order to perform the surgical treatment of liver hydatic cysts one has to thoroughly understand the surgical anatomy of the liver as the treatment cannot be standardized, and the surgical technique should be tailored according to the extent of the cyst and any adjunct complications of hydatid disease. Hydatid cyst of the caudate lobe represents a technical challenge as this is an autonomous segment of the liver that is surgically difficult to approach because of its location deep in the hepatic parenchyma beneath the confluence of the main hepatic (left and middle) veins and between the porta hepatis, the ligamentum venosum, and the inferior vena cava. Surgery is considered the optimal treatment that has the potential to remove the cyst and leads to complete cure. It is important to make a preoperative diagnosis based on the typical image findings, in order to completly eradicate the parasite, prevent intraoperative spillage of contents and obliterate the residual cavity.
Key words: HYDATIC CYST, CAUDATE LOBE RESECTION, SURGICAL ANATOMY
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