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Minimally invasive management of dysontogenetic hepatic cysts

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Abstract

Background

Liver cysts occur with a prevalence of 4%–7% in the general population. Laparoscopic surgery is effective for solitary cysts and in selected patients with polycystic liver disease (PLD). We present our experience in the laparoscopic management of dysontogenetic cysts.

Patients and methods

Between 1994 and 2002, 36 patients were referred to our centre for the management of dysontogenetic cystic liver disease. Management was laparoscopic in 16 cases. Indications were solitary giant cysts (n=9) and PLD (n=7).

Results

Laparoscopic procedures were completed in 15 patients. Mean operating time was 90 min. There were no deaths. In one case there was an intraoperative complication: bleeding from a superficial hepatic vein necessitated conversion to an open procedure. There were two postoperative complications: one patient with biliary leakage, which was managed conservatively, and one patient with a pneumothorax caused by the cava catheter installed for anaesthesia. Median follow-up was 36 months. There was no symptomatic recurrence.

Conclusion

Laparoscopy can be recommended as the procedure of choice for symptomatic solitary giant cysts and PLD Gigot type I.

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Authors and Affiliations

  1. Division of General Surgery, Department of Surgery, University Medical Centre, Auenbruggerplatz 29, 8036, Graz, Austria

    Peter Kornprat, Herwig Cerwenka, Heinz Bacher, Azab El-Shabrawi & Hans Joerg Mischinger

  2. Department of Radiology, University Medical Centre, Graz, Austria

    Manfred Tillich

  3. Department of Pathology, University Medical Centre, Graz, Austria

    Cord Langner

Authors
  1. Peter Kornprat
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  2. Herwig Cerwenka
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  3. Heinz Bacher
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  4. Azab El-Shabrawi
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  5. Manfred Tillich
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  6. Cord Langner
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  7. Hans Joerg Mischinger
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Correspondence to Peter Kornprat.

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Kornprat, P., Cerwenka, H., Bacher, H. et al. Minimally invasive management of dysontogenetic hepatic cysts. Langenbecks Arch Surg 389, 289–292 (2004). https://doi.org/10.1007/s00423-004-0506-7

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  • DOI: https://doi.org/10.1007/s00423-004-0506-7

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