Laparoscopic management of cystic disease of the liver.
BACKGROUND
Laparoscopic management of cystic disease of the liver, including severe polycystic disease, is evolving.


METHODS
Wide unroofing, or "fenestration," as is required for a successful result in open cases, leads to complete resolution of the cysts. This can even occur in chronic cysts, with wide-enough unroofing, given time.


RESULTS
In polycystic disease, adequate fenestration of superficial, cysts allows deeper cysts to prolapse and be similarly fenestrated, thus reducing pressure effects on the liver and restoring normal function.


CONCLUSIONS
However, because of the distortion of anatomy by this disease, it is important that an experienced liver surgeon perform such a complex procedure, as operative complications could be severe.
Hodgson
W J
WJ
Brooklyn Hospital Center, NY 11201, USA.
Kuczabski
G K
GK
Malhotra
R
R
D000328:Adult; D000368:Aged; D003560:Cysts / Q000000981:diagnostic imaging / Q000601:surgery*; D019468:Disease Management; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome