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Case Report
Hydatid cyst: Introducing a new surgical approach toward hepato-pulmonary fistula
1 Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
2 Department of General Surgery, American University of Beirut Medical Center, Beirut, Lebanon
3 Registered Medical and Surgical Nurse, Liver Transplantation and Hepatopancreaticobiliary Surgery, Department of General Surgery, American University of Beirut Medical Center, Beirut, Lebanon
4 Principal Investigator, Professor of Clinical Surgery, Liver Transplantation and Hepatopancreaticobiliary Surgery, Department of General Surgery, American University of Beirut Medical Center, Beirut, Lebanon
Address correspondence to:
Dalia El Hadi
MD, Department of Internal Medicine, American University of Beirut Medical Center, Beirut,
Lebanon
Message to Corresponding Author
Article ID: 100094Z04YK2021
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How to cite this article
Khalifeh Y, El Hadi D, Nassar H, El Hout W, Faraj W, Eid RA, Khalife M. Hydatid cyst: Introducing a new surgical approach toward hepato-pulmonary fistula. Int J Hepatobiliary Pancreat Dis 2021;11:100094Z04YK2021.ABSTRACT
Introduction: Hydatid disease, caused by the zoonotic parasite Echinococcus granulosus, presents as cysts most commonly in the liver and the lungs. A hepato-pleural fistula is considered one of its complications and surgery remains the mainstay of treatment. A simultaneous invasive thoracic and abdominal access is routinely needed which is accompanied by increased morbidity and mortality.
Case Report: In this case report, we present an innovative, less invasive, non-classical approach. We introduce a successful transabdominal transdiaphragmatic laparoscopic technique for the management of a hepato-pulmonary fistula secondary to hydatid disease of the liver.
Conclusion: Compared to the classical method, this new surgical approach toward hepato-pulmonary fistula paves the way for minimally invasive surgeries to manage complicated hydatid disease with a lower mortality and morbidity, faster recovery, and shorter hospital stay.
Keywords: Echinococcus granulosus, Hepato-pleural fistula, Hydatid disease, Laparoscopy, Surgical treatment, Transdiaphragmatic
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Author Contributions
Yara Khalifeh - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Dalia El Hadi - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Hussein Nassar - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Walid El Hout - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Rania Abou Eid - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Mohammad Khalife - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Yara Khalifeh et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
