2010, Number 2
<< Back Next >>
Rev Mex Cir Endoscop 2010; 11 (2)
Laparoscopic management of a giant hepatic cyst. A case report
Álvarez-González N, Kleinfinger MS, Blanco PG, Galindo GFJ, Fuentes MF
Language: Spanish
References: 15
Page: 98-102
PDF size: 276.35 Kb.
ABSTRACT
Introduction: Liver cysts are known since 1854, however until now they are considered infrequent or underdiagnosed entities, usually the diagnosis is as radiological findings and therefore treatment has been highly controversial.
Patient and methods: 76 years old male patient who presents with transfictive abdominal pain in upper left quadrant, abdominal distention, fever and malaise with a palpable tumor in most of the upper abdomen, which is painful, with no evidence of peritoneal irritation and decreased peristalsis. Ultrasound and CT revealed a giant hepatic cyst. Laparoscopy was performed finding irregular cystic liver tumor aspirating 2,700 mL of seropurulent material, there where no complications.
Conclusions: The treatment for this entity is not yet well established, laparoscopic surgery has brought good results for the resolution of hepatic cysts, however, there have been technical difficulties principally in cysts located in deep or posterior segments.
REFERENCES
Salemis NS, Georgoulis E, Gourgiotis S, Tsohataridis E. Spontaneous rupture of a giant non parasitic hepatic cyst presenting as an acute surgical abdomen. Annals of Hepatology 2007; 6: 190-193.
Macho PJ, Gómez PA, Núñez GL, Narvaiza GL, Albéniz A. Quiste hepático simple gigante como causa de disnea en paciente de 93 años. An Med Interna (Madrid) 2007; 24: 135-137.
Clark GT, Holloway SE, Heckman JT, Geller DA. Laparoscopic resection of benign hepatic cysts: A New Standard. J Am Coll Surg 2008; 207: 731–736.
Ramírez TD, Zaldivar RFR, Beltrán RTA, López RS, López LJM, Rodríguez BA, Vargas DA. Quiste hepático gigante. Informe de un caso. Cirujano General 2001; 23: 182-184.
Litwin DEM, Taylor BR, Langer B, Greig P. Nonparasitic cysts of the liver. Ann Surg 1987; 205: 45-48.
Tocchi A, Mazzoni G Costa G, Cassini D, Bettelli E, Agostini N, Miccini M. Symptomatic nonparasitic hepatic cysts: Options for and results of surgical management. Arch Surg 2002; 137: 154-158.
Atmatzidis KS, Pavlidis ThE, Lazaridis ChN, Makris JG, Papaziogas ThV. Surgical management of non-parasitic cystic disease of the liver. A single centers experience. Annals of gastroenterology 2001; 14: 109-111.
Soberón Vi, De la Peña AC, Castrillón AO, Fong BA, Gallo CF. Presentación de un caso de quiste hepático simple tratado por cirugía mínima invasiva. Rev Cubana Cir 2007: 46.
Fiamingo P, Tedeschi U, Veroux M, Cillo U, Brolese A, Da Rold A, Madia C, Zanus G, D’Amico DF. Laparoscopic treatment of simple hepatic cysts and polycystic liver disease. Surg Endosc 2003; 17: 623–626.
Stambuk MJ, De Aretxabala UX, Lavín GM, Zamarin MJ. Fenestración laparoscópica de quistes hepáticos sintomáticos: Reporte de tres casos. Rev Chilena de Cirugía 2008; 60: 548-551.
Moorthy K, Mihssin N, Houghton PWJ. The management of simple hepatic cysts: Sclerotherapy or laparoscopic fenestration; Ann R Coll Surg Engl 2001; 83: 409-414.
Rojas E, Gabriel ML. Quiste hepático gigante. Descripción de un caso. Vitae Academia Biomedica Digital 2008; 35. http://vitae.ucv.ve
Wernet A, Sibert A, Paugam-Burtz C, Geffroy A, Pease S, Belghiti J, Vilgrain V, Mantz J. Ethanol-induced coma after therapeutic ethanol injection of a hepatic cyst. Anesthesiology 2008; 108: 328–9.
Mazza OM, Fernández DL, Pekolj J, Pfaffen G, Sánchez CR, Molmenti EP, De Santibáñes E. Management of nonparasitic hepatic cysts. J Am Coll Surg 2009; 209: 733-9.
Furuta T, Yoshida Y, Saku M, Honda H, Muranaka T, Oshiumi Y, Kanematsu T, Sugimachi K. Treatment of symptomatic non-parasitic Liver cysts--surgical treatment versus Alcohol injection therapy. HPB Surgery 1990; 2: 269-279.