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Symptomatic liver cyst: special reference to surgical management
K Kakizaki1, H Yamauchi, S Teshima
1Department of Surgery, Sendai National Hospital, 2-8-8 Miyagino, Miyagino-ku, Sendai 983, Japan.
Journal of Hepato-Biliary-Pancreatic Surgery
|September 24, 1998
Summary
Symptomatic liver cysts can be effectively treated with surgical options like unroofing, fenestration, and cystectomy. Percutaneous ethanol sclerotherapy is a viable alternative for select patients, offering symptom relief.
Area of Science:
- Hepatology
- Surgical Gastroenterology
- Interventional Radiology
Background:
- Symptomatic liver cysts present a clinical challenge.
- Common symptoms include abdominal pain and palpable abdominal masses.
- Coexisting renal cysts may be present.
Purpose of the Study:
- To evaluate therapeutic interventions for symptomatic liver cysts.
- To assess the safety and efficacy of various treatment modalities.
Main Methods:
- Retrospective study of 14 patients with symptomatic liver cysts.
- Treatments included percutaneous aspiration with ethanol sclerotherapy, aspiration alone, cystectomy, unroofing, and fenestration.
- Computed tomography (CT) was used for assessment.
Main Results:
- All 14 patients experienced symptom relief.
- Percutaneous aspiration with ethanol sclerotherapy led to cyst size reduction and symptom relief in 4 patients.
- Surgical interventions (cystectomy, unroofing, fenestration) in 9 patients resulted in no recurrence.
- CT confirmed cyst diminution or resolution post-treatment.
Conclusions:
- Unroofing, fenestration, and cystectomy are safe and effective for liver cysts.
- Ethanol sclerotherapy is a potential alternative to surgery in selected cases.
- All evaluated treatments provided symptomatic relief and cyst resolution.