Comparison of the Recurrence Rates of Nonparasitic Hepatic Cysts Treated With Laparoscopy or With Open Fenestration: A Meta-Analysis

Zhang, Jianying; Liu, Yan; Liu, Hongyan; Chen, Long; Su, Dai-Wen; Wang, Yunbing

doi:10.1097/sle.0000000000000516

Cited by 8 publications

(8 citation statements)

References 14 publications

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“…The laparoscopic approach is the current standard of care, but studies documenting long-term follow-up after laparoscopic treatment of simple liver cysts have shown recurrence rates varying from 4% to 41% [16]. A meta-analysis of 31 studies performed by Zhang et al found no difference in recurrence rates between the open fenestration group and the laparoscopy group, regardless of whether it was a single or multiple hepatic cysts [17].…”

Section: Simple Cystmentioning

confidence: 99%

An updated review of cystic hepatic lesions

Rawla¹,

Sunkara²,

Muralidharan³

et al. 2019

ceh

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Cystic hepatic lesions are commonly encountered in daily practice. The diagnosis of these lesions ranges from benign lesions of no clinical significance to malignant and potentially lethal conditions. The prevalence of hepatic cyst (HC) has been reported to be as high as 15-18% in the United States. Imaging with conventional ultrasound, computed tomography, magnetic resonance imaging, or contrast-enhanced ultrasound can be used to characterize further and diagnose. The pre-test probability of a diagnosis is highly affected by the patient’s comorbidities and the clinical and laboratory data; thus, imaging studies should be interpreted in the context of the other clinical information for that particular patient. Treatment modalities for hepatic cyst include fenestration, aspiration sclerotherapy, or surgical resection. In the current review, we discuss the pathophysiology, diagnosis, and treatment modalities for various cystic hepatic lesions.

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Section: Simple Cystmentioning

confidence: 99%

An updated review of cystic hepatic lesions

Rawla¹,

Sunkara²,

Muralidharan³

et al. 2019

ceh

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“…The available studies have a retrospective single centre design. [64][65][66][67][68][69] Mere aspiration of cyst fluids invariably results in refilling of the cyst cavity with fluid. 70 Therefore, aspiration of cyst fluid without subsequent sclerotherapy should not be considered as definitive volume-reducing therapy.…”

Section: Recommendationsmentioning

confidence: 99%

“…65 Laparoscopy is preferred over laparotomy in view of the shorter procedural time, reduced postoperative hospital stays and less postoperative pain, while recurrence rates and symptom relief are comparable to the open approach. 64,67,69 More extensive surgical procedures such as partial hepatectomy combined with cyst fenestration in PLD have been associated with a perioperative mortality rate of up to 14% and postoperative liver failure (mean follow-up time up of 6 and 8 years) with the need for liver transplantation in 2-3% of patients. 46,72 Different volume-reducing therapies have not been directly compared in the literature and as a consequence robust evidence on the superiority of any of available volume-reducing therapies is absent.…”

Section: Recommendationsmentioning

confidence: 99%

EASL Clinical Practice Guidelines on the management of cystic liver diseases

Drenth¹,

Barten²,

Hartog³

et al. 2022

Journal of Hepatology

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“…Unroofing liver cysts can be undertaken as an open or laparoscopic surgery[ 25 ]. Laparoscopic unroofing has become the gold standard treatment with low recurrence rates between 0% and 13.8%[ 26 , 27 ]. Some centres employ fulguration of the cyst bed and omental transposition to reduce the risk of cyst recurrence[ 28 ].…”

Section: Discussionmentioning

confidence: 99%

Congenital hepatic cyst: Eleven case reports

Du¹,

Lu²,

Li³

et al. 2022

WJCC

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BACKGROUND Liver cysts in infants are uncommon. With modern diagnostic imaging, we can achieve an early diagnosis of congenital hepatic cysts. Our purpose was to investigate the clinical features, surgical treatment methods and prognosis of infants with congenital hepatic cysts. Herein, we report a case series of congenital hepatic cysts. CASE SUMMARY Eleven infants with hepatic cysts were retrospectively analysed. Ten of them had simple hepatic cysts, and a girl with a large hepatic mass was diagnosed with a solitary intrahepatic biliary cyst accompanied by a choledochal cyst. Among the ten simple hepatic cysts, eight were solitary and two were multiple. A total of 87.5% (7 of 8) of infants with solitary hepatic cysts were detected before delivery, and 86% (6 of 7) of those cysts were located in the right lobe of the liver. Surgical intervention was required for symptomatic hepatic cysts. Cyst resection or unroofing with fulguration of the cyst bed was employed. No recurrence of cysts was observed in these infants. CONCLUSION Congenital hepatic cyst is a condition with a narrow differential diagnosis. Accurate diagnosis is essential for appropriate management. Unroofing is the favoured treatment in infants with symptomatic cysts. Most infants with congenital hepatic cysts have a good prognosis.

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Comparison of the Recurrence Rates of Nonparasitic Hepatic Cysts Treated With Laparoscopy or With Open Fenestration: A Meta-Analysis

Abstract: These findings underscore the distinct role of laparoscopy deroofing in the treatment of hepatic cysts because of the certainty of its long-term curative effect.

Cited by 8 publications

References 14 publications

An updated review of cystic hepatic lesions

An updated review of cystic hepatic lesions

EASL Clinical Practice Guidelines on the management of cystic liver diseases

Congenital hepatic cyst: Eleven case reports

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