[Laparoscopic treatment of liver cysts].

Abstract

OBJECTIVE:

The authors present their experience with the laparoscopic management of non-parasitic liver cysts.

METHODS:

During the period from May 2003 to August 2006, thirteen patients with non-parasitic liver cysts underwent laparoscopic fenestration. Eleven patients were female (84.6%) and two (15.4%) were male. The average age at diagnosis was 48.3 years (range 35-72). The majority of patients presented with pain, discomfort, dyspepsia, or early satiety at diagnosis. Computed tomography scans were performed in all cases. The cysts were solitary in eleven patients (84.6%) and polycystic liver disease in two patients (15.4%). The average size of the solitary cysts was 11.3 cm (range 9.5-17 cm), and the polycystic liver disease was 10.6 cm (range 9.2-12.1 cm). Operation was indicated due to symptoms in all patients. The technique performed was laparoscopic cyst fenestration.

RESULTS:

Laparoscopic fenestration was completed in all patients. Mean operative time was 85 minutes (range 53-110). Intraoperative complications were not detected and there was no death. Postoperative complications were observed in two patients (15.4%). Bile leakage was present in one patient, and ascites in another patient. Both cases were treated conservatively. The average hospital stay was 3.5 days (range 2-9 days). Mean follow-up was 36 months. There was one asymptomatic recurrence (7.6%) in a patient with polycystic liver disease after two years of follow-up.

CONCLUSION:

Laparoscopic fenestration is the preferred method of treatment for non-parasitic liver cyst. This operation causes low morbidity and the recurrence is uncommon. Adequate selection of patients and the laparoscopic technique are important for the treatment.

• Authors: Orlando Jorge Martins Torres, Aline Maria Santos Farias, Maria Helena Almeida Costa, Mauricio Miranda Matias, Poliana Cristina Oliveira Moreira, Glaucia Mesquita Cordeiro
• Journal: Revista do Colegio Brasileiro de Cirurgioes (Rev Col Bras Cir) Vol. 36 Issue 6 Pg. 493-7 (Dec 2009) ISSN: 1809-4546 [Electronic] Brazil
• Vernacular Title: Tratamento videolaparoscópico do cisto hepático.
• PMID: 20140392 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Cysts (diagnostic imaging, surgery)
• Female
• Humans
• Laparoscopy (adverse effects, methods)
• Length of Stay
• Liver Diseases (diagnostic imaging, surgery)
• Male
• Middle Aged
• Radiography