Abstract
We present herein the case of a 73-year-old woman with symptomatic liver cysts and cholelithiasis for whom successful deroofing of the liver cysts and cholecystectomy were performed via laparoscopy. Histopathological diagnosis of the resected cyst wall and direct observation of the inner surface of the remaining cyst wall confirmed that they were benign biliary cysts. The laparoscopic deroofing of liver cysts is therefore not only an effective means of treatment, but it also facilitates the establishment of an exact differential diagnosis.
References
Turnage RH, Eckhauser FE, Knol JA, Thompson NW (1988) Therapeutic dilemmas in patients with symptomatic polycystic liver disease. Am Surgeon 54:365–372
Z'graggen K, Metzgar A, Klaiber C (1991) Symptomatic simple cysts of the liver: Treatment by laparoscopic surgery. Surg Endosc 5:224–225
Olsen DO (1991) Laparoscopic cholecystectomy. Am J Surg 161:339–344
Lai ECS, Wong J (1990) Symptomatic nonparasitic cysts of the liver. World J Surg 14:452–456
Trinkl W, Sassaris M, Hunter FM (1985) Nonsurgical treatment for symptomatic liver cyst. Am J Gastroenterol 80:907–911
Bean WJ, Rodan BA (1985) Hepatic cysts: Treatment with alcohol. AJR 144:237–241
Belcher HV, Hull HC (1969) Nonparasitic cysts of the liver: Report of three cases. Surgery 65:427–431
Lin TY, Chen CCM, Wang SM (1968) Treatment of non-parasitic cystic disease of the liver: A new approach to therapy with polycystic liver. Ann Surg 168:921–927
Jones WL, Mountain JC, Warren KW (1974) Symptomatic nonparasitic cysts of the liver. Br J Surg 61:118–123
Saini S, Mueller PR, Ferrucci JT Jr, Simeone JF, Wittenberg J, Butch RJ (1983) Percutaneous aspiration of hepatic cysts does not provide definitive therapy. AJR 141:559–560
Korobkin M, Stephens DH, Lee JKT, Stanley R, Fishman EK, Francis IR, Alpem MB, Rynties M (1989) Biliary cystadenoma and cystadenocarcinoma: CT and sonographic findings. Am J Roentgenol 153:507–511
Iwase K, Takenaka H, Oshima S, Yagura A, Nishimura Y, Yoshidome K, Tanaka T (1992) Determination of tumor marker levels in cystic fluid of benign liver cysts. Dig Dis Sci 37:1648–1654
Kasai Y, Sasaki E, Tamaki A, Koshino I, Kawanishi N, Hata Y (1977) Carcinoma arising in the cyst of the liver - Report of three cases. Jpn J Surg 7:65–72
Zucker KA, Bailey RW, Gadacz TR, Imbembo AI (1991) Laparoscopic guided cholecystectomy. Am J Surg 161:36–44
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Iwase, K., Takao, T., Watanabe, H. et al. Laparoscopic deroofing for symptomatic liver systs: Report of a case. Surg Today 24, 641–643 (1994). https://doi.org/10.1007/BF01833732
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01833732