title: Laparoscopic treatment of nonparasitic liver cysts: adequate selection of patients and surgical technique.
abstract: 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, deepsited 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.
authors.affiliation: Department of Digestive Surgery, St-Luc University Hospital, Brussels, Belgium.
authors.forename: J F
authors.initials: JF
authors.lastname: Gigot
authors.forename: M
authors.initials: M
authors.lastname: Legrand
authors.forename: G
authors.initials: G
authors.lastname: Hubens
authors.forename: L
authors.initials: L
authors.lastname: de Canniere
authors.forename: E
authors.initials: E
authors.lastname: Wibin
authors.forename: F
authors.initials: F
authors.lastname: Deweer
authors.forename: M L
authors.initials: ML
authors.lastname: Druart
authors.forename: C
authors.initials: C
authors.lastname: Bertrand
authors.forename: H
authors.initials: H
authors.lastname: Devriendt
authors.forename: R
authors.initials: R
authors.lastname: Droissart
authors.forename: M
authors.initials: M
authors.lastname: Tugilimana
authors.forename: P
authors.initials: P
authors.lastname: Hauters
authors.forename: L
authors.initials: L
authors.lastname: Vereecken
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003560:Cysts / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008107:Liver Diseases / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D012008:Recurrence; D016896:Treatment Outcome