title: Laparoscopic treatment of nonparasitic hepatic cysts.
abstract: 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.
authors.affiliation: 2nd Department of Surgery, University of Debrecen Medical and Health Science Center, 4004 Móricz Zs krt. 22, Debrecen, Hungary.
authors.forename: L Sasi
authors.initials: LS
authors.lastname: Szabó
authors.forename: I
authors.initials: I
authors.lastname: Takács
authors.forename: P
authors.initials: P
authors.lastname: Arkosy
authors.forename: P
authors.initials: P
authors.lastname: Sápy
authors.forename: Zs
authors.initials: Z
authors.lastname: Szentkereszty
mesh_terms: 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