We report the laparoscopic use of a novel perforator-grinder-aspirator apparatus, specifically designed for the evacuation of hydatid cysts. Eleven hepatic hydatid cysts in six patients were treated by laparoscopic technique using this tool, which penetrates the cyst mainly by opening a hole in the cyst wall, grinds the particulate, and sucks it all out; classic surgical aspirators are almost a...

Extrapulmonary tuberculosis, constitutes almost one-fifth of all tuberculosis cases and less than 1% of all cases involving liver. Here we report a case of isolated hepatic tuberculoma mimicking solitary liver mass on MRI, recovered with antiTB treatment. The radiologic features of hepatic tuberculoma can mimic liver tumors, cholangiocarcinomas, liver abscess and hydatid cyst, or may present wi...

Blood loss is the major cause of postoperative mortality and morbidity associated with hepatic resection. A prospective multicenter study was conducted to determine if ultrasonic dissectors (USD) were useful in hepatic resection and could reduce this hemorrhagic risk. Forty-seven hepatic resections were performed in 42 consecutive patients during a two month period in 11 public, surgical center...