[Current trends in the treatment of giant nonparasitic cysts of the liver].
The authors report 10 cases of giant non-parasitic congenital cysts of the liver (7.7-25 cm in size). All the patients were symptomatic; preoperative ultrasonography was diagnostic in all cases allowing to discover the cyst. Six patients underwent partial resection of the cyst (in one of these a cystojejunostomy was performed), while atypical hepatic resection was performed in two cases, enucleation in one and left lobectomy in another case. No evidence of malignant degeneration was found in the histologic study of the specimens. No mortality nor morbidity were registered. All patients were followed up for 1-20 years and no recurrences were found. The authors point out that partial resection of the cyst is a safe operation with good immediate and long-term results.
Fiori
E
E
I Cattedra di Patologia Speciale Chirurgicà, Università degli Studi La Sapienza, Roma.
Galati
G
G
Gazzanelli
S
S
Costanzo
F
F
De Toma
G
G
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003560:Cysts / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000379:methods; D006529:Hepatomegaly / Q000151:congenital / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging; D008107:Liver Diseases / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
Attuali orientamenti sul trattamento delle cisti non parassitarie giganti del fegato.