Laparoscopic Treatment of Nonparasitic Liver Cysts: Adequate Selection of Patients and Surgical Technique

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 ina...

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Bibliographic Details
Published in:World journal of surgery 1996-06, Vol.20 (5), p.556-561
Main Authors: Gigot, J. F., Legrand, M., Hubens, G., de Canniere, L., Wibin, E., Deweer, F., Druart, M. L., Bertrand, C., Devriendt, H., Droissart, R., Tugilimana, M., Hauters, P., Vereecken, L.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Cyst Recurrence
Cysts - surgery
Female
Hepatic Cyst
Humans
Laparoscopy
Liver Cyst
Liver Diseases - surgery
Male
Middle Aged
Patient Selection
Polycystic Disease
Polycystic Liver Disease
Recurrence
Treatment Outcome
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Summary: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, deep‐sited 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.
ISSN:0364-2313
1432-2323
DOI:10.1007/s002689900086