Perioperative Challenges and Surgical Treatment of Large Simple,and Infectious Liver Cyst - A 12-Year Experience |
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| Authors: | Yuichiro Maruyama Koji Okuda Toshiro Ogata Masafumi Yasunaga Hiroto Ishikawa Yusuke Hirakawa Kenjiro Fukuyo Hiroyuki Horiuchi Osamu Nakashima Hisafumi Kinoshita |
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| Institution: | 1. Department of Surgery, University School of Medicine, Kurume, Japan.; 2. Department of Pathology, University School of Medicine, Kurume, Japan.; UNIFESP Federal University of São Paulo, Brazil, |
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| Abstract: | BackgroundCystic lesions of the liver consist of a heterogeneous group of disorders that can present diagnostic and therapeutic challenges.MethodsA retrospective review of all medical records of adult patients diagnosed with large (>7 cm) cystic lesions of the liver between January 2000 and December 2011, at Kurume University Hospital. Cases with polycystic disease were excluded.ResultsTwenty three patients were identified. The mean size was 13.9 cm (range, 7-22cm). The majority of simple cysts were found in women (females: males, 2: 21). In 19 patients, the cyst was removed surgically by wide deroofing (laparoscopically in 16 cases, combined with ethanol sclerotherapy in 13 cases). Infection of the liver cyst occurred in one patient, who later underwent central bi-segmentectomy.ConclusionSimple large cysts of the liver can be successfully treated by laparoscopic deroofing and alcohol sclerotherapy. Large hepatic cyst considered to need drainage should be removed surgically to avoid possible infection. |
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