Cystadenoma and laparoscopic surgery for hepatic cystic disease: a need for laparotomy?
| Autor: | Alberto Brolese, Antonino Buffone, Massimiliano Veroux, P. Fiamingo, Umberto Cillo, Davide F. D'Amico, Smm Basso, Pierfrancesco Veroux, U. Tedeschi |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male Laparoscopic surgery medicine.medical_specialty medicine.medical_treatment Cystadenoma Enucleation Laparotomy medicine Humans Cyst Cystadenocarcinoma Cysts business.industry Incidence Liver Diseases Middle Aged medicine.disease Surgery Biliary tract Female Laparoscopy Hepatic Cyst business Algorithms |
| Zdroj: | Surgical Endoscopy. 19:1077-1081 |
| ISSN: | 1432-2218 0930-2794 |
| DOI: | 10.1007/s00464-004-2229-9 |
| Popis: | This study aimed to evaluate the incidence of cystadenoma diagnosis in a series of laparoscopic treatments for nonparasitic liver cysts, as well as its management. From 1996 to 2004, 26 patients with a nonparasitic cyst of the liver were selected for laparoscopic liver surgery. Solitary nonparasitic liver cysts were, whenever feasible, completely enucleated. In four patients, the histopathologic examination showed a cystadenoma. Three patients with 13, 9, and 12-cm cysts, respectively, had undergone complete enucleation of the lesion, with no evidence of recurrence in the follow-up visit. One patient with multicystic liver experienced a recurrence and required an open hepatic resection. When a complete laparoscopic enucleation of the cyst can be ensured, a strict follow-up assessment should be considered as the definitive treatment, with surgical intervention demanded only in the case of recurrence or high suspicion for malignancy. |
| Databáze: | OpenAIRE |
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