case_images: PMC10830638_01
case_images: (A-D) Preoperative CT images of the pelvis and abdomen. (E-H) Postoperative CT images of the pelvis and abdomen.
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case_images: PMC10830638_01_fmed-11-1276850-g001.jpg
case_images: fig1
case_images: The portal vein was significantly compressed, and the intrahepatic bile duct of the left lobe of the liver was dilated (Figures 1A-D). Then the hydatid cyst fluid and endocysts were removed using the Negative Pressure Rotary Cutter (Supplementary Figure S1). The postoperative CT scans are shown in Figures 1E-H.
case_images: Preoperative and postoperative comparison. (A) The preoperative appearance of the patient's abdomen. (B) The postoperative appearance of the patient's abdomen. (C) The hydatid cysts were removed during the operation. (D) The hydatid cyst fluid were removed during the operation.
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case_images: PMC10830638_01_fmed-11-1276850-g002.jpg
case_images: fig2
case_images: The operation was successful and took more than 10 h, during which approximately 100 hydatid cysts were excised (Figure 2). There has been no recurrence or re-occurrence of hydatid cysts, given that the patient had a periodic examination at the local hospital in March 2021 (Supplementary Figure S2).
case_images: The volume of drainage of ascites and perihepatic fluid. (A) No fluid accumulation in the patient's abdominal cavity by clamping the abdominal drainage tube on the 24th day. (B) The bile leakage stopped after one week of treatment with negative pressure suction.
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case_images: PMC10830638_01_fmed-11-1276850-g003.jpg
case_images: fig3
case_images: As a result, it was found that the body could gradually absorb the ascites so that there was no fluid accumulation in the patient's abdominal cavity (Figure 3A). The bile leakage recovered after one week of treatment with negative pressure suction (Figure 3B).