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Cystadenoma and laparoscopic surgery for hepatic cystic disease: a need for laparotomy?

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Abstract

Background

This study aimed to evaluate the incidence of cystadenoma diagnosis in a series of laparoscopic treatments for nonparasitic liver cysts, as well as its management.

Methods

From 1996 to 2004, 26 patients with a nonparasitic cyst of the liver were selected for laparoscopic liver surgery. Solitary nonparasitic liver cysts were, whenever feasible, completely enucleated.

Results

In four patients, the histopathologic examination showed a cystadenoma. Three patients with 13, 9, and 12-cm cysts, respectively, had undergone complete enucleation of the lesion, with no evidence of recurrence in the follow-up visit. One patient with multicystic liver experienced a recurrence and required an open hepatic resection.

Conclusions

When a complete laparoscopic enucleation of the cyst can be ensured, a strict follow-up assessment should be considered as the definitive treatment, with surgical intervention demanded only in the case of recurrence or high suspicion for malignancy.

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Authors and Affiliations

  1. Department of Surgery, Transplantation, and Advanced Technologies, Transplant Unit, University Hospital of Catania, Via S.Sofia, Catania, 78 95123, Italy

    M. Veroux, P. Veroux & A. Buffone

  2. Department of Surgical and Gastroenterological Sciences,1st Surgical Unit, University of Padua, Via Giustiniani, Padua, 2 35100, Italy

    P. Fiamingo, U. Cillo, U. Tedeschi, A. Brolese, S. Basso & D. F. D’Amico

Authors
  1. M. Veroux
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  2. P. Fiamingo
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  3. U. Cillo
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  4. U. Tedeschi
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  5. A. Brolese
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  6. P. Veroux
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  7. S. Basso
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  8. A. Buffone
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  9. D. F. D’Amico
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Correspondence to M. Veroux.

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Veroux, M., Fiamingo, P., Cillo, U. et al. Cystadenoma and laparoscopic surgery for hepatic cystic disease: a need for laparotomy?. Surg Endosc 19, 1077–1081 (2005). https://doi.org/10.1007/s00464-004-2229-9

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  • DOI: https://doi.org/10.1007/s00464-004-2229-9

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