AIM: To investigate the eligible management of the cystic neoplasms of the liver. METHODS: The charts of 9 patients who underwent surgery for intrahepatic biliary cystic liver neoplasms between 2003 and 2008 were reviewed retrospectively. Informed consent was obtained from the patients and approval was obtained from the designated review board of the institution. RESULTS: All patients were female with a median (range) age of 49 (27-60 years). The most frequent symptom was abdominal pain in 6 of the patients. Four patients had undergone previous laparotomy (with other diagnoses) which resulted in incomplete surgery or recurrences. Liver resection (n = 6) or enucleation (n = 3) was performed. The final diagnosis was intrahepatic biliary cystadenoma in 8 patients and cystadenocarcinoma in 1 patient. All symptoms resolved after surgery. There has been no recurrence during a median (range) 31 (7-72) mo of follow up. CONCLUSION: In spite of the improvement in imaging modalities and increasing recognition of biliary cystadenoma and cystadenocarcinoma, accurate preoperative diagnosis may be difficult. Complete surgical removal (liver resection or enucleation) of these lesions yields satisfying long-term results.
AIM: To investigate the eligible management of the cystic neoplasms of the liver. METHODS: The charts of 9 patients who underwent surgery for intrahepatic biliary cystic liver neoplasms between 2003 and 2008 were reviewed retrospectively. Informed consent was obtained from the patients and approval was obtained from the designated review board of the institution. RESULTS: All patients were female with a median (range) age of 49 (27-60 years). The most frequent symptom was abdominal pain in 6 of the patients. Four patients had undergone previous laparotomy (with other diagnoses) which resulted in incomplete surgery or recurrences. Liver resection (n = 6) or enucleation (n = 3) was performed. The final diagnosis was intrahepatic biliary cystadenoma in 8 patients and cystadenocarcinoma in 1 patient. All symptoms resolved after surgery. There has been no recurrence during a median (range) 31 (7-72) mo of follow up. CONCLUSION: In spite of the improvement in imaging modalities and increasing recognition of biliary cystadenoma and cystadenocarcinoma, accurate preoperative diagnosis may be difficult. Complete surgical removal (liver resection or enucleation) of these lesions yields satisfying long-term results.
Authors: Saif A Ghole; Sara Bakhtary; Kristan Staudenmayer; Daniel Y Sze; Reetesh K Pai; Brendan C Visser; Jeffrey A Norton; George A Poultsides Journal: Dig Dis Sci Date: 2011-03-29 Impact factor: 3.199
Authors: Dean J Arnaoutakis; Yuhree Kim; Carlo Pulitano; Victor Zaydfudim; Malcolm H Squires; David Kooby; Ryan Groeschl; Sorin Alexandrescu; Todd W Bauer; Mark Bloomston; Kevin Soares; Hugo Marques; T Clark Gamblin; Irinel Popescu; Reid Adams; David Nagorney; Eduardo Barroso; Shishir K Maithel; Michael Crawford; Charbel Sandroussi; Wallis Marsh; Timothy M Pawlik Journal: Ann Surg Date: 2015-02 Impact factor: 12.969
Authors: Kevin C Soares; Dean J Arnaoutakis; Ihab Kamel; Robert Anders; Reid B Adams; Todd W Bauer; Timothy M Pawlik Journal: J Am Coll Surg Date: 2013-09-14 Impact factor: 6.113
Authors: Kerri A Simo; Iain H Mckillop; William A Ahrens; John B Martinie; David A Iannitti; David Sindram Journal: HPB (Oxford) Date: 2012-07-22 Impact factor: 3.647