Skip to main content
Log in

Laparoscopic treatment of nonparasitic hepatic cysts

  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

Background

We present our experience with laparoscopic deroofing of nonparasitic hepatic cysts.

Methods

Laparoscopic deroofing was performed due to a solitary hepatic cyst in 21 patients and polycystic liver in four patients. Laparoscopy was indicated when a cyst was larger than 5 cm (the general size of cysts was 6.9 cm) and caused complaints and was in a superficial position. In eight patients in whom the cyst was larger than 10 cm, omentoplasty was performed.

Results

Intraoperative complications were not detected. Two conversions were performed because of the deep position of the cyst. Postoperative bile leakage was detected in one case that was treated conservatively. The average hospital stay was 4.7 days. Relapse occurred in two patients (8%), but only one of them required a second operation.

Conclusions

We recommend laparoscopic deroofing for treatment of nonparasitic liver cysts. This operation causes only slight discomfort for the patients, the intra- and postoperative morbidity is low, and relapses are rare.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Ammori BJ, Jenkins BL, Lim PCM, Prasad KR, Pollard SG, Lodge PJ (2002) Surgical strategy for cystic diseases of the liver in a Western hepatobiliary center. World J Surg 26: 462–469

    PubMed  Google Scholar 

  2. De Simone M, Cioffi U (1998) Laparoscopic Lin operation for the treatment of polycystic liver disease. Hepato-Gastroenterol 45: 1846–1848

    Google Scholar 

  3. Diez J, Decoud J, Gutierrez L, Suhl A, Merello J (1998) Laparoscopic treatment of symptomatic cysts of the liver. Br J Surg 85: 25–27

    Article  CAS  PubMed  Google Scholar 

  4. Fiamingo P, Tedeschi U, Veroux M, Cillo U, Brolese A, Da Rold A, Madia C, Zanus G, D’Amico DF (2003) Laparoscopic treatment of simple hepatic cysts and polycystic liver disease. Surg Endosc 17: 623–626

    CAS  PubMed  Google Scholar 

  5. Gamal EM, Kiss J (1993). The role of laparoscopy in the diagnosis of focal hepatic diseases. In: Ihász M, Fazekas T, Todua FI (eds) The diagnostic problems of hepatic focal diseases. Akadémiai kiadó, Budapest

    Google Scholar 

  6. Gigot JF, Metairie S, Etienne J, Horsmans Y, van Beers BE, Sempoux C, Deprez P, Materne R, Geubel A, Glinuer D, et al (2001) The surgical management of congenital liver cysts. The need for a tailored approach with appropriate patient selection and proper surgical technique. Surg Endosc 15: 357–363

    Article  CAS  PubMed  Google Scholar 

  7. Giuliante F, D’Acapito F, Vellone M, Giovanni I, Nuzzo G (2003) Risk for laparoscopic fenestration of liver cysts. Surg Endosc 17: 1735–1738

    CAS  PubMed  Google Scholar 

  8. Kanai T, Kenmochi T, Takabayashi T, Hangai N, Kawano Y, Suwa T, Yonekawa H, Miyazawa N (1999) Obstructive jaundice caused by a huge liver cyst riding on the hilum: report of a case. Surg Today Jpn J Surg 29: 791–794

    CAS  Google Scholar 

  9. Kitajima Y, Okayama Y, Hirai M, Hayashi K, Imai H, Okamoto T, Aoki S, Akita S, Gotoh K, Ohara H, et al. (2003) Intracystic hemorrhage of a simple liver cyst mimicking a biliary cystadenocarcinoma. J Gastroenterol 38: 190–193

    Article  PubMed  Google Scholar 

  10. Martin IJ, McKinley AJ, Currie EJ, Holmes P, Garden OJ (1998) Tailoring the management of nonparasitic liver cysts. Ann J Surg 228: 167–172

    CAS  Google Scholar 

  11. Payatake AH, Kakkos SK, Solomou EG, Tepetes KN, Karavias DD (1999) Surgical treatment of non-parasitic hepatic cysts: report of 12 cases. Eur J Surg 165: 1154–1158

    Google Scholar 

  12. Szentkereszty Zs, Vágvölgyi A, Kollár S, Takács I, Sápy P (2000) Laparoscopic fenestration of nonparasitic cysts of the liver and spleen. Endoscopia 3: 21–23

    Google Scholar 

  13. Tocchi A, Mazzoni G, Costa G, Cassani D, Bettelii E, Agostini N, Miccini M (2002) Symptomatic nonparasitic hepatic cysts. Options for and results of surgical management. Arch Surg 137: 154–158

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Zs. Szentkereszty.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sasi Szabó, L., Takács, I., Árkosy, P. et al. Laparoscopic treatment of nonparasitic hepatic cysts. Surg Endosc 20, 595–597 (2006). https://doi.org/10.1007/s00464-005-0206-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-005-0206-6

Keywords

Navigation