Laparoscopic Treatment of Biliary Hepatic Cysts: Short- and Medium-term Results

Overview

Journal HPB (Oxford)

Publisher Elsevier

Specialty Gastroenterology

Date 2008 Mar 12

PMID 18333141

Citations 6

Authors

Vincenzo Neri

Antonio Ambrosi

Alberto Fersini

Tiziano Pio Valentino

Affiliations

Soon will be listed here.

Abstract

Background: The aim of this study was to evaluate the postoperative morbidity and, in the medium-term results, the incidence of relapses in the laparoscopic treatment of non-parasitic hepatic cysts (NPHC) and polycystic liver disease (PCLD).

Patients And Methods: From 1999 to 2003, 12 patients with NPHC and 3 patients with PCLD with few large cysts in the anterior hepatic segments underwent laparoscopic fenestration and deroofing.

Results: There were no conversions and no mortality; the mean operative time was 55 min for NPHC and 120 min for PCLD. Postoperative morbidity comprised two patients with bronchopneumonic infiltrations and in one patient with PCLD ascites resolved spontaneously. All the patients experienced resolution of the symptomatology. Follow-up was carried out from 3 to 38 months (mean 18 months). There was no relapse of the disease.

Discussion: The preoperative selection of patients is fundamental to program the surgical treatment. Laparoscopy can be considered a safe and efficacious treatment for NPHC and PCLD.

Citing Articles

Clinical response after laparoscopic fenestration of symptomatic hepatic cysts: a systematic review and meta-analysis.

Bernts L, Echternach S, Kievit W, Rosman C, Drenth J Surg Endosc. 2018; 33(3):691-704.

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Differentiating Cystic Liver Lesions: A Review of Imaging Modalities, Diagnosis and Management.

Mavilia M, Pakala T, Molina M, Wu G J Clin Transl Hepatol. 2018; 6(2):208-216.

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Long-term outcomes and quality of life after surgical or conservative treatment of benign simple liver cysts.

Reuver P, van der Walt I, Albania M, Samra J, Hugh T Surg Endosc. 2017; 32(1):105-113.

PMID: 28639041 DOI: 10.1007/s00464-017-5645-3.

Systematic review of laparoscopic versus open surgery in the treatment of non-parasitic liver cysts.

Antonacci N, Ricci C, Taffurelli G, Casadei R, Minni F Updates Surg. 2014; 66(4):231-8.

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Casteleijn N, Visser F, Drenth J, Gevers T, Groen G, Hogan M Nephrol Dial Transplant. 2014; 29 Suppl 4:iv142-53.

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