Cystadenoma and laparoscopic surgery for hepatic cystic disease: a need for laparotomy?
BACKGROUND
This study aimed to evaluate the incidence of cystadenoma diagnosis in a series of laparoscopic treatments for nonparasitic liver cysts, as well as its management.


METHODS
From 1996 to 2004, 26 patients with a nonparasitic cyst of the liver were selected for laparoscopic liver surgery. Solitary nonparasitic liver cysts were, whenever feasible, completely enucleated.


RESULTS
In four patients, the histopathologic examination showed a cystadenoma. Three patients with 13, 9, and 12-cm cysts, respectively, had undergone complete enucleation of the lesion, with no evidence of recurrence in the follow-up visit. One patient with multicystic liver experienced a recurrence and required an open hepatic resection.


CONCLUSIONS
When a complete laparoscopic enucleation of the cyst can be ensured, a strict follow-up assessment should be considered as the definitive treatment, with surgical intervention demanded only in the case of recurrence or high suspicion for malignancy.
Veroux
M
M
Department of Surgery, Transplantation, and Advanced Technologies, University Hospital of Catania, Via S.Sofia, Catania, 78 95123, Italy. veroux@unict.it
Fiamingo
P
P
Cillo
U
U
Tedeschi
U
U
Brolese
A
A
Veroux
P
P
Basso
S
S
Buffone
A
A
D'Amico
D F
DF
D000328:Adult; D000465:Algorithms; D003537:Cystadenoma / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology*; D003560:Cysts / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D015994:Incidence; D010535:Laparoscopy; D007813:Laparotomy; D008107:Liver Diseases / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged