Surgical Management of Simple Liver Cysts: A 10-Year Single-Center Experience

Sotade, Oludolapo; Mouline, Omar; Pulitanò, Carlo; Crawford, Michael; Joseph, David; Gallagher, James J.; Sandroussi, Charbel

doi:10.14740/jcs263w

Cited by 3 publications

(13 citation statements)

References 20 publications

(47 reference statements)

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“…The treatment of symptomatic hepatic cysts consists both in surgical procedures as well as less invasive techniques covering laparoscopic fenestration and percutaneous drainage ( 5 , 11 , 16 , 17 ) . Surgical resection of the liver is deemed the most effective method, characterized by the lowest number of cyst relapse.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical resection of the liver is deemed the most effective method, characterized by the lowest number of cyst relapse. At present, it is recommended mainly in the case of complex cysts, mainly cystic hepatic tumors and parasitic tumors ( 8 , 14 , 16 ) . In the group of lesions of non-parasitic origin, the surgical procedure utilizes a classical resection, open fenestration, enucleation of a lesion and even cystojejunostomy ( 14 , 16 ) .…”

Section: Discussionmentioning

confidence: 99%

“…At present, it is recommended mainly in the case of complex cysts, mainly cystic hepatic tumors and parasitic tumors ( 8 , 14 , 16 ) . In the group of lesions of non-parasitic origin, the surgical procedure utilizes a classical resection, open fenestration, enucleation of a lesion and even cystojejunostomy ( 14 , 16 ) . Recently, the conventional procedures of surgical resection are being used less and less frequently – both segmental and lobar for the benefit of minimally invasive surgery, even in the cases of large cysts with the dimensions of 15 to 25 cm.…”

Section: Discussionmentioning

confidence: 99%

“…The procedure may be a method of choice to treat simple cysts located at the surface, located mainly in the anterior and lateral segments of the liver (segment IVb, V and even VI). A negative aspect is, however, relatively large number of recrudescence – assessed to range from 10 to 25%, as compared to 8% in the case of a classical surgery ( 11 , 16 , 17 ) . Improvement in the results as regards decreasing the number of relapses is sought by the authors in the application of a laparoscopic cyst resection or enucleation ( 3 , 11 ) .…”

Section: Discussionmentioning

confidence: 99%

“…Another problem is cyst infection after percutaneous drainage. They constitute not frequent complications, their occurrence is estimated to be in the range of 1 to 4% ( 16 , 22 , 23 ) . Cyst infection symptoms may include increase in the inflammation markers, temperature increase, pain of permanent nature, irregularities observed during imaging and a positive microbiological test result.…”

Section: Discussionmentioning

confidence: 99%

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Ocena przydatności drenażu przezskórnego objawowych torbieli wątroby połączonego z próbą obliteracji

et al. 2016

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AimThe goal of the paper was to evaluate the procedure of percutaneous drainage of symptomatic hepatic cysts under the transabdominal ultrasound control combined with obliteration.Material and methodWithin the period from 2005 to 2015, 70 patients diagnosed with a simple hepatic cyst of symptomatic nature were subject to hospitalization and treated at the 2nd General, Gastroenterological and Cancer Surgery of the Alimentary System Center and Clinics of the Medical University of Lublin. All the patients subject to evaluation were qualified to percutaneous drainage under an ultrasound control. The drainage utilized typical sets of drains with the diameter of at least 9 F, most often of pigtail type. The fluid aspirated form the cyst was dispatched for complex laboratory testing. Further, a 10% sodium chloride solution was administered to the cyst through the drain, in the volume depending on the previous size of the cyst and the patient's reaction.ResultsPatients reported for a re-visit within the period from 3 to 9 months following the procedure. Complete obliteration of the cyst was confirmed only in 8 patients (11%). Cyst recurrence was reported in cases when during the ultrasound evaluation, the diameter of the cyst following aspiration and obliteration enlarged to over 75% of the initial dimension. In this group, in 10 out of 12 examined (83%) there was a relapse of the previously observed ailments. Among patients, who has a cyst imaged within the period of observation, which had the diameter from 50% to 75% of the previous size, only in 6 cases (37.5%) the initial symptoms relapsed.ConclusionsThe utilization of a drainage and obliteration enables one to achieve the acceptable result of the therapy as well as significant decrease in the number of previously reported ailments and symptoms described.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Ocena przydatności drenażu przezskórnego objawowych torbieli wątroby połączonego z próbą obliteracji

et al. 2016

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Contemporary Management of Hepatic Cyst Disease: Techniques and Outcomes at a Tertiary Hepatobiliary Center

Gomez

Wisneski

Luu

et al. 2021

Journal of Gastrointestinal Surgery

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Background Hepatic cyst disease is often asymptomatic, but treatment is warranted if patients experience symptoms. We describe our management approach to these patients and review the technical nuances of the laparoscopic approach. Methods Medical records were reviewed for operative management of hepatic cysts from 2012 to 2019 at a single, tertiary academic medical center. Results Fifty-three patients (39 female) met the inclusion criteria with median age at presentation of 65 years. Fifty cases (94.3%) were performed laparoscopically. Fourteen patients carried diagnosis of polycystic liver disease. Dominant cyst diameter was median 129 mm and located within the right lobe (30), left lobe (17), caudate (2), or was bilobar (4). Pre-operative concern for biliary cystadenoma/cystadenocarcinoma existed for 7 patients. Operative techniques included fenestration (40), fenestration with decapitation (7), decapitation alone (3), and excision (2). Partial hepatectomy was performed in conjunction with fenestration/decapitation for 15 cases: right sided (7), left sided (7), and central (1). One formal left hepatectomy was performed in a polycystic liver disease patient. Final pathology yielded simple cyst (52) and one biliary cystadenoma. Post-operative complications included bile leak (2), perihepatic fluid collection (1), pleural effusion (1), and ascites (1). At median 7.1-month follow-up, complete resolution of symptoms occurred for 34/49 patients (69.4%) who had symptoms preoperatively. Reintervention for cyst recurrence occurred for 5 cases (9.4%). Conclusions Outcomes for hepatic cyst disease are described with predominantly laparoscopic approach, approach with minimal morbidity, and excellent clinical results.

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Percutaneous US-guided combined ethanol and tetracycline injection for treating symptomatic simple and hydatid hepatic cysts

El-khalek

El-Sayed

Elalfy

et al. 2018

The Egyptian Journal of Radiology and Nuclear Medicine

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Surgical Management of Simple Liver Cysts: A 10-Year Single-Center Experience

Cited by 3 publications

References 20 publications

Ocena przydatności drenażu przezskórnego objawowych torbieli wątroby połączonego z próbą obliteracji

Ocena przydatności drenażu przezskórnego objawowych torbieli wątroby połączonego z próbą obliteracji

Contemporary Management of Hepatic Cyst Disease: Techniques and Outcomes at a Tertiary Hepatobiliary Center

Percutaneous US-guided combined ethanol and tetracycline injection for treating symptomatic simple and hydatid hepatic cysts

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