Laparoscopic Treatment of a Giant Nonparasitic Cyst in Cirrhotic Liver

Autor: Lucio Taglietti, Cristina Guadrini, Luca Balestra, Nereo Vettoretto, Maurizio Giovanetti, Murad Odeh
Rok vydání: 2011
Předmět:
Zdroj: Journal of Laparoendoscopic & Advanced Surgical Techniques Part B, Videoscopy. 21
ISSN: 2373-3063
DOI: 10.1089/vor.2010.0002
Popis: Introduction: The detection of single simple liver cysts has become more frequent in the general population (2.5%–5%) because of the routine use of ultrasonography. Between 10% and 16% of cysts become symptomatic and require treatment. Among the various treatment options, which range from simple aspiration to hepatic resection, laparoscopic cyst “unroofing” is generally considered to be the standard of care by allowing for cyst decompression and preventing recurrences while simultaneously decreasing postoperative pain and hospitalization time. However, relative contraindications include cirrhosis and posterior localization of the cyst. Case Report: The authors present the case of a 65-year-old cirrhotic woman positive for hepatitis C virus who was referred for abdominal pain, anemia, and scleral jaundice. Computed tomography scan of the abdomen demonstrated a giant hepatic cyst (19 × 14cm) in the right lobe of the liver compressing the right branch of the portal vein, inferior vena cava, right an...
Databáze: OpenAIRE