title: Technical report of a novel surgical technique: laparoscopic cyst fenestration and falciform ligament pedicle graft for treatment of symptomatic simple hepatic cysts.
abstract: BACKGROUND
  Simple hepatic cysts are common and infrequently develop into large symptomatic cysts that require surgical therapy. These benign cysts have been shown to be amenable to minimally invasive surgery; however, recurrences of symptoms have been reported. Our experience with over 200 simple hepatic cysts has lead to the development of a novel therapy to resolve symptoms associated with large simple hepatic cysts and reduce the rate of recurrent symptoms.
  
  
  METHODS
  An observational study demonstrating our experience with a novel minimally invasive technique for the management of symptomatic simple hepatic cyst.
  
  
  RESULTS
  A total of 6 cases were identified where laparoscopic mini-fenestration and placement of a falciform pedicle graft was used. There were no operative complications and 4 of 6 patients were discharged home the day of surgery. With mean follow-up of 9.6 months, there has not been any recurrence to date. One patient required an open hepatic resection for the treatment of a cystadenoma.
  
  
  CONCLUSIONS
  Laparoscopic mini-fenestration and placement of a falciform ligament pedicle graft shows promising early results as a treatment for the simple hepatic cyst. Long term follow-up data is required.
authors.affiliation: Department of Surgery, Gordon and Leslie Diamond Health Care Center, University of British Columbia, Vancouver, BC, Canada.
authors.forename: Jason M
authors.initials: JM
authors.lastname: Faulds
authors.forename: Charles H
authors.initials: CH
authors.lastname: Scudamore
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D003560:Cysts / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008022:Ligaments / Q000637:transplantation*; D008107:Liver Diseases / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D016896:Treatment Outcome; D014472:Umbilicus