Díaz-Girón GA, González-Chávez MA, González Hermosillo-Cornejo D, Vélez-Pérez FM, Espino-Urbina L, Visag-Castillo V, Contreras-Saldívar A

Language: Spanish
References: 18
Page: 94-98
PDF size: 369.31 Kb.

ABSTRACT

Liver cysts are uncommon, most are asymptomatic and require no treatment. Cysts that attain massive proportions often become symptomatic and require definitive therapy but there is no agreement regarding the best treatment. Total excision of the cyst has been considered by many to be the treatment of choice, but this represents a major endeavor with potentially significant morbidity and mortality. More conservative procedures, like wide un-roofing, have been used as definitive treatment, with fewer complications but the possibility of recurrence.

REFERENCES

1. Gall TM, Oniscu GC, Madhavan K, Parks RW, Garden OJ. Surgical management and longterm follow-up of nonparasitic hepatic cysts. HPB (Oxford) 2009; 11: 235-41.

2. Nagorney DM, Sarmiento JM. Surgical management of cystic disease of the liver. Surgery of the Liver, Biliary Tract and Pancreas. Philidelphia, PA: Saunders Elsevier; 2007, p. 1021-31.

3. Farges O, Vilgrain V. Non-parasitic cystic diseases of the liver and intrahepatic biliary tree. Surgery of the Liver, Biliary Tract and Pancreas. Philidelphia, PA: Saunders Elsevier; 2007, p. 1005- 20.

4. Katkhouda N, Mavor E. Laparoscopic management of benign liver disease. Surg Clin North Am 2000; 80: 1203-11.

5. Haap M, Seeger A, Haas CS. Giant solitary hepatic cyst. Liver Int 2008; 28: 840.

6. Waanders E, van Keimpema L, Brouwer JT, van Oijen MG, Aerts R, Sweep FC, Nevens F, et al. Carbohydrate antigen 19-9 is extremely elevated in polycystic liver disease. Liver Int 2009; 29: 1389-95.

7. Choi HK, Lee JK, Lee KH, Lee KT, Rhee JC, Kim KH, Jang KT, et al. Differential diagnosis for intrahepatic biliary cystadenoma and hepatic simple cyst: significance of cystic fluid analysis and radiologic findings. J Clin Gastroenterol 2010; 44: 289-93.

8. Vachha B, Sun MR, Siewert B, Eisenberg RL. Cystic lesions of the liver. AJR 2011; 196: W355-W366.

9. Albiin N. MRI of Focal Liver Lesions. Curr Med Imaging Rev 2012; 8: 107-16.

10. Hwang SH, Yu JS, Chung JJ, Kim JH, Kim KW. Diagnosing small hepatic cysts on multidetector CT: an additional merit of thinner coronal reformations. Korean J Radiol 2011; 12: 341-50.

11. Saini S, Mueller PR, Ferrucci JT Jr, et al. Percutaneous aspiration of hepatic cysts does not provide definitive therapy. AJR 1983; 141: 559-60.

12. Simonetti G, Profili S, Sergiacomi GL, et al. Percutaneous treatment of hepatic cysts by aspiration and sclerotherapy. Cardiovasc Intervent Radiol 1993; 16: 81-4.

13. Lin TY, Chen CC,Wang SM. Treatment of non-parasitic cystic disease of the liver: a new approach to therapy with polycystic liver. Ann Surg 1968; 168: 921-7.

14. Vogl S, Koperna T, Satzinger U, Schulz F. Nonparasitic liver cysts. Overview of therapy with long-term results. Langenbecks Arch Chir 1995; 380: 340-4.

15. Mekeel KL, Moss AA, Reddy KS, Mulligan DC, Harold KL. Laparoscopic fenestration of giant hepatic cysts. Surg Laparosc Endosc Percutan Tech 2008; 18: 511-3.

16. Tocchi A, Mazzoni G, Costa G, Cassini D, Bettelli E, Agostini N, et al. Symptomatic nonparasitic hepatic cysts: options for and results of surgical management. Arch Surg 2002; 137: 154-8.

17. Katkhouda N, Hurwitz M, Gugenheim J, Mavor E, Mason RJ, Waldrep DJ, et al. Laparoscopic management of benign solid and cystic lesions of the liver. Ann Surg 1999; 229: 460-6.

18. Regev A, R eddy KR, Berho M, et al. Large cystic lesions of the liver in adults: a 15-year experience in a tertiary center. J Am Coll Surg 2001; 193: 36-45.