J Zacherl1, M Imhof, R Függer, A Fritsch. 1. University Clinic of Surgery, AKH 21.A, Waehringerguertel 18-20, A-1090 Vienna, Austria.
Abstract
BACKGROUND: Unroofing is the therapy of choice in patients with symptomatic, nonparasitic benign liver cysts-either solitary or diffuse. Techniques which require laparotomy, such as cystojejunostomy or pericystectomy, generally do not justify surgical morbidity in benign conditions. METHODS: We report the outcome of eight fenestration operations in seven patients with hepatic cysts in laparoscopic performance. Patients were reexamined after a mean follow-up period of 30 months. RESULTS: All operations were finished without conversion. There were no perioperative complications. Only one patient had a recurrence and was successfully reoperated via laparoscopy including cholecystectomy without refilling of the cyst until reexamination. CONCLUSIONS: Adoption of minimal access surgery in these patients occurred without loss of quality and offered the well-known benefits of laparoscopic surgery.
BACKGROUND: Unroofing is the therapy of choice in patients with symptomatic, nonparasitic benign liver cysts-either solitary or diffuse. Techniques which require laparotomy, such as cystojejunostomy or pericystectomy, generally do not justify surgical morbidity in benign conditions. METHODS: We report the outcome of eight fenestration operations in seven patients with hepatic cysts in laparoscopic performance. Patients were reexamined after a mean follow-up period of 30 months. RESULTS: All operations were finished without conversion. There were no perioperative complications. Only one patient had a recurrence and was successfully reoperated via laparoscopy including cholecystectomy without refilling of the cyst until reexamination. CONCLUSIONS: Adoption of minimal access surgery in these patients occurred without loss of quality and offered the well-known benefits of laparoscopic surgery.
Authors: K Iwase; T Takao; H Watanabe; Y Tanaka; T Kido; N Ogawa; S Sunada; K Santoh; E Hamada; N Ono Journal: Surg Today Date: 1994 Impact factor: 2.549