Laparoscopic treatment of nonparasitic liver cysts: adequate selection of patients and surgical technique.
(1996) World Journal of Surgery — Vol. 20, n° 5, p. 556-561 (1996)
Files
pdfdocument.pdf
Restricted Access - Adobe PDF
- 1.1 MB
Details
- Authors
- Abstract
- Results of laparoscopic fenestration in patients with a highly symptomatic solitary liver cyst (17 patients) or polycystic liver disease (PLD) (9 patients) were prospectively evaluated in a multicenter practice of general surgeons. Conversion to laparotomy was required in two patients because of inaccessible deep liver cyst in one and a diffuse form of PLD in the other. There was no mortality or major morbidity. Mean postoperative hospital stay was 4.6 days after successful laparoscopic procedures. During a mean follow-up of 9 months, 23% of the patients had recurrence of symptoms and 38% had radiographic reappearance of cysts. Factors predicting failure included previous surgical treatment, deepsited cysts, incomplete deroofing technique, location in the right posterior segments of the liver, and a diffuse form of PLD with small cysts. Adequate selection of patients and type of cystic liver disease and meticulous and aggressive surgical technique are recommended.
- Affiliations
Citations
Gigot, J.-F., Legrand, M., Hubens, G., De Canniere, L., Wibin, E., Deweer, F., Druart, M. L., Claude, B., Devriendt, H., Droissart, R., Tugilimana, M., Hauters, P., & Vereecken, L. (1996). Laparoscopic treatment of nonparasitic liver cysts: adequate selection of patients and surgical technique. World Journal of Surgery, 20(5), 556-561. https://doi.org/10.1007/s002689900086 (Original work published 1996)