Cystadenoma and laparoscopic surgery for hepatic cystic disease: a need for laparotomy?

Abstract

BACKGROUND:

This study aimed to evaluate the incidence of cystadenoma diagnosis in a series of laparoscopic treatments for nonparasitic liver cysts, as well as its management.

METHODS:

From 1996 to 2004, 26 patients with a nonparasitic cyst of the liver were selected for laparoscopic liver surgery. Solitary nonparasitic liver cysts were, whenever feasible, completely enucleated.

RESULTS:

In four patients, the histopathologic examination showed a cystadenoma. Three patients with 13, 9, and 12-cm cysts, respectively, had undergone complete enucleation of the lesion, with no evidence of recurrence in the follow-up visit. One patient with multicystic liver experienced a recurrence and required an open hepatic resection.

CONCLUSIONS:

When a complete laparoscopic enucleation of the cyst can be ensured, a strict follow-up assessment should be considered as the definitive treatment, with surgical intervention demanded only in the case of recurrence or high suspicion for malignancy.

• Authors: M Veroux, P Fiamingo, U Cillo, U Tedeschi, A Brolese, P Veroux, S Basso, A Buffone, D F D'Amico
• Journal: Surgical endoscopy (Surg Endosc) Vol. 19 Issue 8 Pg. 1077-81 (Aug 2005) ISSN: 1432-2218 [Electronic] Germany
• PMID: 16021374 (Publication Type: Journal Article)

Topics

• Adult
• Algorithms
• Cystadenoma (complications, diagnosis, epidemiology)
• Cysts (complications, surgery)
• Female
• Humans
• Incidence
• Laparoscopy
• Laparotomy
• Liver Diseases (complications, diagnosis, epidemiology, surgery)
• Male
• Middle Aged