Laparoscopic management of hepatic cysts
| Autor: | Marcelo Moura Linhares, Schraibman, Caetano-Júnior Em, Delcio Matos, Jacques Matone, Saad Ss |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Asymptomatic Laparotomy parasitic diseases Medicine Humans Cyst Prospective Studies Laparoscopy Aged medicine.diagnostic_test business.industry Cysts Polycystic liver disease Liver Diseases Length of Stay Middle Aged medicine.disease Surgery Treatment Outcome Etiology Hepatic Cyst Liver function medicine.symptom business Follow-Up Studies |
| Zdroj: | Surgical laparoscopy, endoscopypercutaneous techniques. 16(2) |
| ISSN: | 1530-4515 |
| Popis: | The present study describes the technique and evaluation of postsurgical results, hospital stay, and follow-up of patients who underwent hepatic cyst surgical treatment by laparoscopic access. Twelve patients presenting liver cystic disease were included in this research. Clinical conditions, laboratorial and radiologic examinations, surgical technique, complications, and postoperative follow-up were discussed. In our series, the morbidity rate was 25%. No mortality was observed in the postoperative period. Conversion to open surgery was necessary in 1 case, owing to hemorrhage. No recurrence was found and patients remain asymptomatic in their current follow-up. Laparoscopic resection of hepatic cyst proved to be efficient in the regression of the cysts and resulted in disappearance of symptoms. represented by a single liver cyst but also by multiple cysts, as well as diffuse polycystic liver disease. The etiology of the cysts is controversial, as many classifications have been proposed. The distinction between true cysts and pseudocysts is usually recogniz- able. Pseudocysts are related to traumatic lesions or to neoplasm growth, whereas true hepatic cysts may be nonparasitic or parasitic. The latter is generally a consequence of an Echinococcus granulosus infection. 8,9 Hepatic cysts are usually asymptomatic and not associated with defects in hepatic function. They are incidentally found during occasional laparotomy or laparoscopy, necropsy, and even during routine ultra- sound or CT scan. However, if they grow, they may become symptomatic. Symptoms depend on the size and location of the cysts, mainly during the fourth to sixth decades of life. There may be vague upper abdominal pain, right upper quadrant palpable mass, postprandial fullness, dyspnea, and vomiting. 9-11 Laboratorial liver function enzymes are only abnormal if biliary compression is present. Hepatic cyst infection may occur if a communication between the biliary tree and the cyst is present. 9,12 |
| Databáze: | OpenAIRE |
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