Simultaneous laparoscopic partial pericystectomy and cholecystectomy: Is it safe? A case report

BACKGROUND: Initial reservations regarding spillage and the ability to manage the cyst wall have been allayed by many reports which show satisfying results with minimal complications using laparoscopic techniques. Here, we study the possibility and safety of simultaneous laparoscopic pericystectomy with one of the most common laparoscopic procedure; laparoscopic cholecystectomy. CASE PRESENTATION: A 37 y/o female from a rural area in Syria was referred to our clinic after one year of total pericystectomy from both right and left lobes of lung. She was scheduled for a second operation to resect a third hydatid cyst from her liver. We noted that she also complained of a cholelithiasis and it would be very helpful to manage both these problems altogether. DISCUSSION: previously, one manuscript discussed in details the safety of laparoscopic simultaneous partial pericystectomy and total cystectomy for hydatid liver cysts. The anaphylactic shock, surgical site infection (SSI) and recurrence were still challenges in any participation of laparoscopic hydatid pericystectomy with other kind of surgery from the same ports. Here, we also paid an attention for the duration and cost of this practice. CONCLUSION: The combination of the laparoscopic pericystectomy with other producers may be safe in certain selective cases and does not increase the possibility of postsurgical complications like infections or recurrence. We found this intervention could be effective and useful.