Modified capitonage in partial cystectomy performed for liver hydatid disease: report of 2 cases

Several techniques have been described in liver hydatid disease surgery, with most well known partial cystectomy, capitonage and introflexion. We present a technical modification on open partial cystectomy for liver hydatid disease. We performed this operation in 2 patients with liver echinococcosis. The cyst is being unroofed and evacuated from the daughter cysts. The identified bile vessels ligated. The remnants of the anterior wall (capsule of the cyst) are anchored with sutures in the posterior wall in a manner that the cavity of the cyst disappears. In both patients the disease eradicated. No postoperative complications were observed including bile leaking and/or abscess formation. Our technique helps in the fast, and effective mobilization of the patient, as well as in the minimization of postoperative bile leaking.