Laparoscopic treatment of nonparasitic liver cysts: adequate selection of patients and surgical technique.
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.
Gigot
J F
JF
Department of Digestive Surgery, St-Luc University Hospital, Brussels, Belgium.
Legrand
M
M
Hubens
G
G
de Canniere
L
L
Wibin
E
E
Deweer
F
F
Druart
M L
ML
Bertrand
C
C
Devriendt
H
H
Droissart
R
R
Tugilimana
M
M
Hauters
P
P
Vereecken
L
L
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