Laparoscopic treatment of nonparasitic hepatic cysts.
BACKGROUND
We present our experience with laparoscopic deroofing of nonparasitic hepatic cysts.


METHODS
Laparoscopic deroofing was performed due to a solitary hepatic cyst in 21 patients and polycystic liver in four patients. Laparoscopy was indicated when a cyst was larger than 5 cm (the general size of cysts was 6.9 cm) and caused complaints and was in a superficial position. In eight patients in whom the cyst was larger than 10 cm, omentoplasty was performed.


RESULTS
Intraoperative complications were not detected. Two conversions were performed because of the deep position of the cyst. Postoperative bile leakage was detected in one case that was treated conservatively. The average hospital stay was 4.7 days. Relapse occurred in two patients (8%), but only one of them required a second operation.


CONCLUSIONS
We recommend laparoscopic deroofing for treatment of nonparasitic liver cysts. This operation causes only slight discomfort for the patients, the intra- and postoperative morbidity is low, and relapses are rare.
Szabó
L Sasi
LS
2nd Department of Surgery, University of Debrecen Medical and Health Science Center, 4004 Móricz Zs krt. 22, Debrecen, Hungary.
Takács
I
I
Arkosy
P
P
Sápy
P
P
Szentkereszty
Zs
Z
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003560:Cysts / Q000000981:diagnostic imaging / Q000601:surgery*; D013505:Digestive System Surgical Procedures; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography