Scarless surgery for a huge liver cyst: A case report

Area of Science:

• Hepatobiliary Surgery
• Minimally Invasive Procedures
• Surgical Innovation

Background:

• Symptomatic liver cysts often necessitate surgical intervention.
• Laparoscopic fenestration is a standard treatment for liver cysts.
• Minimally invasive techniques are evolving to reduce patient morbidity.

Purpose of the Study:

• To evaluate the efficacy of hybrid natural orifice transluminal endoscopic surgery (NOTES) for a huge liver cyst.
• To present a scarless surgical approach for liver cyst management.
• To assess the safety and outcomes of hybrid NOTES in a clinical case.

Main Methods:

• A hybrid NOTES procedure using a transvaginal approach was performed for a huge liver cyst in an 82-year-old female.
• Laparoscopic fenestration was utilized via a combination of a small abdominal incision and vaginal access.
• The procedure was chosen due to anticipated difficulties with a standard umbilical approach.

Main Results:

• The hybrid NOTES procedure was successfully completed without complications.
• The patient experienced an uneventful postoperative course and was discharged within three days.
• No recurrence of the liver cyst was observed during a two-year follow-up period.

Conclusions:

• Hybrid NOTES provides a safe and less invasive option for treating huge liver cysts.
• This technique may represent a preferred approach for managing large liver cysts, minimizing scarring and pain.
• The study highlights the potential of scarless surgery in hepatobiliary interventions.