Three Simple Hepatic Cysts Successfully Managed Using a Laparoscopic Approach
Keywords:
Simple hepatic cyst, Laparoscopic fenestrationAbstract
Hepatic cysts are not an uncommon condition, and most are simple cysts, which cause no symptoms and are usually diagnosed incidentally during imaging for other diseases. However, problems may occur if they grow above a certain size. Complications, such as hemorrhage, infection or rupture are rare, but can be life-threatening or emergency conditions. The author reported three cases of simple hepatic cysts, each with a different clinical presentation. The first patient presented as an emergency condition due to ruptured hepatic cyst. The second patient was asymptomatic and was incidentally diagnosed while imaging for gallstones. The last patient had symptoms of pressure effect from a large cyst. All patients could be managed by a laparoscopic approach without conversion to open surgery.
References
Gaines PA, Sampson MA. The prevalence and characterization of simple hepatic cyst by ultrasound examination. Br J Radiol 1989;62:335-7.
Caremani M. Vincenti, Benci A, et al. Echographic epidemiology of non-parasitic hepatic cysts. J Clin Ultrasound 1993;21:115-8.
Chan C Y, Tan C H J, Chew S P, Teh C H. Laparoscopic Fenestration of a Simple Hepatic Cyst. Singapore Med J 2001;42:268-70.
Qiu JG, Wu H, Jiang H, et al. Laparoscopic fenestration vs open fenestration in patients with congenital hepatic cysts: a meta-analysis. World J Gastroenterol 2011;17:3359–65.
Treckmann JW, Paul A, Sgourakis G, et al. Surgical treatment of nonparasitic cysts of the liver: open versus laparoscopic treatment. Am J Surg 2010;199:776–81.
Gamblin TC, Holloway SE, Heckman JT, Geller DA. Laparoscopic resection of benign hepatic cysts: a new standard. J Am Coll Surg 2008;207:731–6.
Cowles RA, Mulholland MW. Solitary hepatic cysts. J Am Coll Surg 2000;191:311–21.
Fiamingo P, Tedeschi U, Veroux M, et al. Laparoscopic treatment of simple hepatic cysts and polycystic liver disease. Surg Endosc 2003;17:623–6.
Kashiwagi H, Kumagai K, Nozue M. Single incision laparoscopic surgery for a life-threatening, cyst of liver. Tokai J Exp Clin Med 2011;36:13–6.
Oda M, Shiihara R, Ohmae Y, et al. Clostridium perfringens alpha-toxin induces the release of IL-8 through a dual pathway via TrkA in A549 cells. Biochim Biophys Acta 2012;1822:1581–9.
Inoue K, Iguchi T, Ito S, et al. Rerupture of nonparasitic liver cyst treated with cyst fenestration: a case report. Surg Case Rep 2015;1:71.
Lopes HM, Portela FA, de Silva Pontes JM, et al. Treatment of benign hepatic cysts by instillation of tetracycline hydrochloride. Hepatogastroenterology 1998;45:496–9.
Jain S.K., Vindal A., Basra B.K., Kaza R.C. Cystojejunostomy for non-parasitic hepatic cyst with biliary communication. Singapore Med J 2010;51:27–9.
Tan YM, Chung A, Mack P, et al. Role of fenestration and resection for symptomatic solitary liver cysts. ANZ J Surg 2005;75:577–80.
Aydin U, Yazici P, Onen Z, et al. The optimal treatment of hydatid cyst of the liver: radical surgery with a significant reduced risk of recurrence. Turk J Gastroenterol 2008;19:33–9.
Edwards JD, Eckhauser FE, Knol JA, et al. Optimizing surgical management of symptomatic solitary hepatic cysts. Am J Surg 1987;53:510-4.
Sanchez H, Gagner M, Rossi RL, et al. Surgical management of nonparasitic cystic liver disease. Am J Surg 1991;161:113-8.
Saini S, Mueller PR, Ferrucci JT Jr, et al. Percutaneous aspiration of hepatic cyst does not provide definitive therapy. AJR Am J Roentgenol 1983;141:559-60.
Koperna T, Vogl S, Satzinger U, Schulz F. Nonparasitic cysts of the liver: results and options of surgical treatment. World J Surg 1997;21:850–4.
Paterson-Brown S, Garden OJ. Laser-assisted laparoscopic excision of the liver. Br J Surg 199;78:1047.
Zacherl J., Imhof M., Fugger R., Fritsch A. Laparoscopic unroofing of symptomatic congenital liver cysts. Surg Endosc 1996;10:813–5.
Katkhouda N., Mavor E. Laparoscopic management of benign liver disease. Surg. Clin North Am 2000;80:1203–11.
Moorthy K, Mihssin N, Houghton PW. The management of simple hepatic cysts: sclerotherapy or laparoscopic fenestration. Ann R Coll Surg Engl 2001;83:409-14.
Katkhouda N, Mavor E. Laparoscopic management of benign liver disease. Surg Clin North Am 2000;80:1203-11.
Macedo F I. Current management of noninfectious hepatic cystic lesions: A review of the literature. World J Hepatol 2013; 5: 462-9.
Downloads
Published
How to Cite
Issue
Section
License
Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.
