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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JPSIM</journal-id>
      <journal-title-group>
        <journal-title>Journal of Pakistan Society of Internal Medicine</journal-title>
        <abbrev-title>J Pak Soc Intern Med</abbrev-title>
      </journal-title-group>
      <issn publication-format="print">2709-8729</issn>
      <issn publication-format="electronic">2710-0804</issn>
      <publisher>
        <publisher-name>Pakistan Society of Internal Medicine</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.70302/jpsim.v6i2.2529</article-id>
      <article-id pub-id-type="publisher-id">jpsim.v6i2.2529</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Original Research</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Laparoscopic Management of Hepatic Hydatid Cysts: A Case Series</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Zia</surname>
            <given-names>Aroosa</given-names>
          </name>
          <email>aroosazia42511@import.invalid</email>
          <xref ref-type="aff" rid="aff1"/>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Ahmad</surname>
            <given-names>Nabeel</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Khalid</surname>
            <given-names>Muhammad Sehran</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Khalil-Ur-Rehman</surname>
            <given-names>Muhammad</given-names>
          </name>
          <xref ref-type="aff" rid="aff3"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Sarwar</surname>
            <given-names>Naeem</given-names>
          </name>
          <xref ref-type="aff" rid="aff3"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Mehmood</surname>
            <given-names>Saeed</given-names>
          </name>
          <xref ref-type="aff" rid="aff4"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <institution>Ihsan Mumtaz Teaching Hospital</institution>
      </aff>
      <aff id="aff2">
        <institution>National Hospital</institution>
      </aff>
      <aff id="aff3">
        <institution>Arif memorial Teaching Hospital</institution>
      </aff>
      <aff id="aff4">
        <institution>Lahore General Hospital</institution>
      </aff>
      <author-notes>
        <corresp id="cor1">*Correspondence: Aroosa Zia (aroosazia42511@import.invalid)</corresp>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic" iso-8601-date="2025-06-05">
        <day>05</day>
        <month>06</month>
        <year>2025</year>
      </pub-date>
      <pub-date date-type="collection" publication-format="electronic">
        <year>2025</year>
      </pub-date>
      <volume>6</volume>
      <issue>2</issue>
      <fpage>153</fpage>
      <lpage>158</lpage>
      <history>
        <date date-type="received" iso-8601-date="2024-12-19">
          <day>19</day>
          <month>12</month>
          <year>2024</year>
        </date>
        <date date-type="rev-recd" iso-8601-date="2025-01-28">
          <day>28</day>
          <month>01</month>
          <year>2025</year>
        </date>
        <date date-type="accepted" iso-8601-date="2025-05-01">
          <day>01</day>
          <month>05</month>
          <year>2025</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright © 2025 The Author(s)</copyright-statement>
        <copyright-year>2025</copyright-year>
        <copyright-holder>The Author(s)</copyright-holder>
        <ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v6i2.2529" content-type="text/html"/>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v6i2.2529.pdf" content-type="application/pdf"/>
      <abstract>
        <sec>
          <title>Objective</title>
          <p>This study aimed to evaluate the efficacy of laparoscopic methods in managing hepatic hydatid cysts.</p>
        </sec>
        <sec>
          <title>Methodology</title>
          <p>A prospective descriptive case series was conducted in the Surgery Department at Lahore General Hospital, located in Lahore, from August 2020 to June 2021.This study included 100 patients who met the inclusion criteria. After acquiring ethical clearance from institution informed consent from all patients was acquired before surgery under general anesthesia. Operative time was recorded during the procedure. Patients were followed-up in the OPD for the detection of port site infection, bile leak, and recurrence. Data was entered and analyzed through statistical package for social studies (SPSS).</p>
        </sec>
        <sec>
          <title>Results</title>
          <p>Participants in the study had a mean age of 39.63±9.32 years. The sample comprised 61% males (61 individuals) and 39% females (39 individuals). Port site infection was observed in six (6%) patients, bile leakage in 11(11%) patients, and recurrence in two (2%) patients. No statistically significant association between the duration of the surgical procedure, patient age, sex, cyst location, body mass index (BMI), symptom duration number of cyst and Gharbi classifications (p&gt;0.05).</p>
        </sec>
        <sec>
          <title>Conclusion</title>
          <p>The laparoscopic procedure for hepatic hydatid cyst disease is a highly effective and beneficial approach with a low rate of adverse outcomes</p>
        </sec>
      </abstract>
      <kwd-group xml:lang="en" kwd-group-type="author-keywords">
        <title>Keywords</title>
        <kwd>Hepatic Hydatid Disease</kwd>
        <kwd>Laparoscopic Procedure</kwd>
      </kwd-group>
    </article-meta>
  </front>
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  <back>
    <ref-list>
      <title>References</title>
      <ref id="ref1">
        <label>1</label>
        <mixed-citation>Tuxun T, Zhang J-h, Zhao J-m, Tai Q-w, Abudurexti M, Ma H-Z, et al. World review of laparoscopic treatment of liver cystic echinococcosis—914 patients. Int J Infect Dis. 2014;24:43-50.</mixed-citation>
      </ref>
      <ref id="ref2">
        <label>2</label>
        <mixed-citation>Gupta BB, Parvan Kumar C. Study of clinical spectrum and management of hydatid disease‐A 7 years’ prospective study. Radiol. 2018;3(2):B65-B9.</mixed-citation>
      </ref>
      <ref id="ref3">
        <label>3</label>
        <mixed-citation>Yagmur Y, Gumus S, Babur M, Can M, Akbulut S. Laparoscopic management of hydatid cyst of the liver surgery. South Afr J Surg. 2016;54(3):14-7.</mixed-citation>
      </ref>
      <ref id="ref4">
        <label>4</label>
        <mixed-citation>Brennan S, Schneider M, Watson D, Kandasamy Y, Rudd D. The renal parenchyma—evaluation of a novel ultrasound measurement to assess fetal renal development: protocol for an observational longitudinal study. BMJ Open. 2017;7(12):e019369.</mixed-citation>
      </ref>
      <ref id="ref5">
        <label>5</label>
        <mixed-citation>Shinde S, Jain A, Jain R, Patel A. Hydatid disease of liver-an observational study in tertiary care center in central India. J Evolution Med Dent Sci. 2019;8(22):1767-72.</mixed-citation>
      </ref>
      <ref id="ref6">
        <label>6</label>
        <mixed-citation>Kol IO, Duger C, Kaygusuz K, Gursoy S, Aydin C, Mimaroglu C. Case Report Perioperative anaphylactic shock in a patient with unruptured hepatic hydatid cyst. Anaesth Pain Intens Care. 2019.</mixed-citation>
      </ref>
      <ref id="ref7">
        <label>7</label>
        <mixed-citation>Tai Q-W, Tuxun T, Zhang J-H, Zhao J-M, Cao J, Muhetajiang M, et al. The role of laparoscopy in the management of liver hydatid cyst: a single-center experience and world review of the literature. Surg Laparos Endos Percut Tech. 2013;23(2):171-5.</mixed-citation>
      </ref>
      <ref id="ref8">
        <label>8</label>
        <mixed-citation>i Gavara CG, López-Andújar R, Ibáñez TB, Ángel JMR, Herraiz ÁM, Castellanos FO, et al. Review of the treatment of liver hydatid cysts. World J Gastroenterol. 2015;21(1):124.</mixed-citation>
      </ref>
      <ref id="ref9">
        <label>9</label>
        <mixed-citation>Graur F, Hajjar N, Mois E, Furcea L, Elisei R. Laparoscopic treatment of hydatid hepatic cyst. Adv Laparos. 2016;1:2-16.</mixed-citation>
      </ref>
      <ref id="ref10">
        <label>10</label>
        <mixed-citation>Goja S, Saha SK, Yadav SK, Tiwari A, Soin AS. Surgical approaches to hepatic hydatidosis ranging from partial cystectomy to liver transplantation. Ann Hep Bil Pancr Surg. 2018;22(3):208-15.</mixed-citation>
      </ref>
      <ref id="ref11">
        <label>11</label>
        <mixed-citation>Jarufe N, Galindo J, Bächler J, Ahumada V, Rebolledo R, Crovari F, et al. Radical laparoscopic treatment for hepatic hydatid disease. J Gastrointest Dig Syst. 2016;6(419):2.</mixed-citation>
      </ref>
      <ref id="ref12">
        <label>12</label>
        <mixed-citation>Malik AA, Ayoub I, Wani MA, Bari SU. Laparoscopic versus conventional surgery for hepatic hydatid disease: a comparative study. J Minim Invasive Surg Sci. 2017;6(4):e57109.</mixed-citation>
      </ref>
      <ref id="ref13">
        <label>13</label>
        <mixed-citation>Jabbari Nooghabi A, Mehrabi Bahar M, Asadi M, Jabbari Nooghabi M, Jangjoo A. Evaluation and comparison of the early outcomes of open and laparoscopic surgery of liver hydatid cyst. Surg Laparos Endos Percut Tech. 2015;25(5):403-7.</mixed-citation>
      </ref>
      <ref id="ref14">
        <label>14</label>
        <mixed-citation>Dehkordi AB, Sanei B, Yousefi M, Sharafi SM, Safarnezhad F, Jafari R, et al. Albendazole and treatment of hydatid cyst: review of the literature. Infect Disord Drug Targ. 2019;19(2):101-4.</mixed-citation>
      </ref>
      <ref id="ref15">
        <label>15</label>
        <mixed-citation>Rooh-ul-Muqim KK, Khalil J, Gul T, Farid S. Laparoscopic treatment of hepatic hydatid cyst. J Coll Physicians Surg Pak. 2011;21(8):468-71.</mixed-citation>
      </ref>
      <ref id="ref16">
        <label>16</label>
        <mixed-citation>Palanivelu C, Senthilkumar R, Jani K, Rajan P, Sendhilkumar K, Parthasarthi R, et al. Palanivelu hydatid system for safe and efficacious laparoscopic management of hepatic hydatid disease. Surg Laparos Endos Percut Tech. 2006;20(12):1909-13.</mixed-citation>
      </ref>
      <ref id="ref17">
        <label>17</label>
        <mixed-citation>Deplazes P, Rinaldi L, Rojas CA, Torgerson P, Harandi M, Romig T, et al. Global distribution of alveolar and cystic echinococcosis. Adv Parasitol. 2017;95:315-493.</mixed-citation>
      </ref>
      <ref id="ref18">
        <label>18</label>
        <mixed-citation>Pakala T, Molina M, Wu GY. Hepatic echinococcal cysts: a review. J Clin Trans Hepatol. 2016;4(1):39.</mixed-citation>
      </ref>
      <ref id="ref19">
        <label>19</label>
        <mixed-citation>Niścigorska J, Sluzar T, Marczewska M, Karpińska E, Boroń-Kaczmarska A, Morańska I, et al. Parasitic cysts of the liver—practical approach to diagnosis and differentiation. Med Sci Monit. 2001;7(4):737-41.</mixed-citation>
      </ref>
      <ref id="ref20">
        <label>20</label>
        <mixed-citation>Chautems R, Buehler LH, Gold B, Chilcott MJ, Morel P, Mentha G. Long term results after complete or incomplete surgical resection of liver hydatid disease. Swiss medical weekly. 2003;133(17-18):258-62.</mixed-citation>
      </ref>
      <ref id="ref21">
        <label>21</label>
        <mixed-citation>Kaya S, Altuntas YE, Kaptanoglu L, Altin Ö, Kement M, Küçük HF, et al. Laparoscopic treatment of hepatic hydatid cysts. Ann Ital Chir. 2019;90(6):560-4.</mixed-citation>
      </ref>
      <ref id="ref22">
        <label>22</label>
        <mixed-citation>Trigui A, Rejab H, Krichene J, Tlili A, Trabelsi J, Kachoua A, et al. Surgical treatment of hydatid cysts with large biliocystic fistula in conservative strategy. Pan African Medical Journal. 2021;38(2):195-.</mixed-citation>
      </ref>
      <ref id="ref23">
        <label>23</label>
        <mixed-citation>Koirala R, Rajbhandari AP, Maharjan S, Adhikari SS. Laparoscopic management of Hepatic cystic echinococcosis in Nepal: A single center experience. J Soc Surg Nepal. 2020;23(1):2-8.</mixed-citation>
      </ref>
      <ref id="ref24">
        <label>24</label>
        <mixed-citation>Thapa B, Sapkota R, Kim M, Barnett SA, Sayami P. Surgery for parasitic lung infestations: roles in diagnosis and treatment. J Thorac Dis. 2018;10(Suppl 28):S3446.</mixed-citation>
      </ref>
      <ref id="ref25">
        <label>25</label>
        <mixed-citation>Little JM, Hollands MJ, Ekberg H. Recurrence of hydatid disease. World J Surg. 1988;12(5):700-3.</mixed-citation>
      </ref>
    </ref-list>
  </back>
</article>
