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[Polycystic liver. Is Lin's operation still justified?].
Annales De Chirurgie
|January 1, 1989
Summary
Lin's procedure effectively treated symptomatic polycystic liver disease in eleven patients, showing no mortality or recurrence after a 4-year follow-up. This surgical approach is superior to repeated sonographic aspiration for managing this condition.
Area of Science:
- Hepatology
- Surgical Gastroenterology
- Medical Imaging
Context:
- Polycystic liver disease (PLD) presents with symptomatic forms requiring intervention.
- Sonography is a key diagnostic tool for PLD, identifying complications like intracystic bleeding.
- Traditional management may involve repeated procedures with risks of infection.
Purpose:
- To evaluate the efficacy and safety of Lin's procedure for treating symptomatic polycystic liver disease.
- To compare Lin's procedure with sonographic aspiration in managing PLD.
- To assess long-term outcomes, including recurrence and complications, after Lin's procedure.
Summary:
- Eleven patients with symptomatic polycystic liver disease underwent Lin's procedure.
- The procedure demonstrated no postoperative mortality or morbidity.
- An average follow-up of 4 years revealed no recurrences.
- Sonography was used for diagnosis in 9 cases and identified intracystic bleeding as a frequent complication.
Impact:
- Lin's procedure offers a safe and effective surgical solution for symptomatic PLD.
- It is a preferred alternative to sonographic aspiration, which is often repeated and carries infection risks.
- Operative aspirative drainage is deemed necessary, while hepatectomy is rarely indicated.