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[Simple cysts of the liver]
G Catania1, F Cardí, A Petralia
1Cattedra di Chirurgia Oncologia, Universitá degli Studi, Catania.
Minerva Chirurgica
|June 1, 1997
Summary
Percutaneous drainage with alcohol sclerotherapy is effective for symptomatic benign liver cysts. This minimally invasive treatment offers a high success rate, with surgery reserved for complex or unresponsive cases.
Area of Science:
- Hepatology
- Interventional Radiology
- Surgical Gastroenterology
Background:
- Benign non-parasitic liver cysts are common, typically asymptomatic, and diagnosed via ultrasonography.
- While usually asymptomatic, symptomatic cysts require effective treatment strategies.
Purpose of the Study:
- To evaluate percutaneous drainage and alcohol sclerotherapy for symptomatic benign non-parasitic liver cysts.
- To compare this minimally invasive approach with surgical intervention.
Main Methods:
- A prospective study involving 8 patients with symptomatic benign non-parasitic liver cysts.
- Intervention included percutaneous drainage followed by absolute alcohol sclerotherapy and suction.
Main Results:
- 7 out of 8 patients experienced no cyst recurrence during 8-60 months follow-up.
- One patient required repeat percutaneous drainage; no complications were observed.
Conclusions:
- Percutaneous drainage with alcohol sclerotherapy is the preferred treatment for symptomatic benign non-parasitic liver cysts.
- Surgery is recommended for treatment failures or technically challenging cyst locations.