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- Title
Does laparoscopic fenestration provide long-term alleviationfor symptomatic cystic disease of the liver?
- Authors
Tan, Y. M.; Ooi, London Lucien; Soo, K. C.; Mack, P.O. P.
- Abstract
Background: The use of laparoscopic technique for management ofsymptomatic liver cysts is documented to be a feasible and safeprocedure with good short-term symptomatic relief. However, it cannotbe recommended as the standard of care as long-term results arescarce. The present study was initiated to review the long-termresults of this approach in the management of symptomatic livercysts. Methods: A retrospective review of all patients with symptomaticliver cysts that were treated by laparoscopic fenestration in ourdepartment over an 8-year period from 1993 to 2001. The clinicaland radiographical data were analysed at follow-up to assess the outcome. Results: Eleven patients were treated using a laparoscopic approach;10 patients with solitary cysts and one with adult polycystic liverdisease. All patients achieved short-term alleviation of symptomsand an uneventful postoperative course. The mean hospital stay was3 days. Long-term follow up was available for 9 patientswith a mean of 44 months. Histologically, one of the patientswas diagnosed with a biliary cystadenoma and she had a symptomaticrecurrence and a liver resection at 20 months. In the otherseven patients, there was no clinical recurrence but a radiographicalrecurrence of 28.5%. The patient with adult polycysticliver disease had two symptomatic recurrences: at 26 monthswhere he underwent a repeat laparoscopic fenestration and at 43 monthswhere he underwent an open fenestration. Conclusion: The present study confirms that with adequate patientselection, long-term alleviation of symptoms can be achieved withthe laparoscopic approach for solitary simple liver cysts but notfor polycystic liver disease or cystic tumours of the liver.
- Subjects
LAPAROSCOPIC surgery; LIVER diseases
- Publication
ANZ Journal of Surgery, 2002, Vol 72, Issue 10, p743
- ISSN
1445-1433
- Publication type
Article
- DOI
10.1046/j.1445-2197.2002.02527.x