Laparoscopic excision of an antenatally diagnosed large simple hepatic cyst in the newborn

Abstract

Non-parasitic hepatic cysts are rare in infants and children. Advances in antenatal imaging have improved their detection, while development of laparoscopic techniques has expanded options for treatment. We present a case of an antenatally diagnosed non-parasitic hepatic cyst in a neonate, which was successfully excised laparoscopically with no recurrence.

Minimally-invasive liver resection for liver tumors in children: a snapshot of the current landscape

“…Thus far, most laparosocopic hepatectomies reported in children are case reports and small case series of non-anatomical resections for small, peripheral and isolated lesions [34,[42][43][44][45][46] . Tabrizian and Midulla [34] and Oh et al [43] used a full laparoscopic approach to excise hepatic cysts. Interesting about these two particular case reports is the fact that both children had large cysts and were rather young, one being a newborn and the other being only 2-month-old.…”

“…2012 Oh et al . [43] Case report Congential hepatic cyst 6 weeks premature 1 Complete laparoscopic cyst excision 4…”

Laparoscopic Resection of a Congenital Solitary Hepatic Cyst in an Infant

“…Nonparasitic solitary hepatic cysts (SHCs) are rare tumors that are most commonly found during the 5th and 6th decade of life. 1 Presently, there is no consensus for the management of congenital liver cysts. 2 Surgical options include aspiration, fenestration, complete excision, cystojejunostomy, and liver transplantation.…”

“…2 Surgical options include aspiration, fenestration, complete excision, cystojejunostomy, and liver transplantation. 1 This report describes the identification, assessment, and laparoscopic resection of an enlarging SHC.…”

“…2 Surgical intervention is recommended for children with symptoms such as feeding difficulty, respiratory distress, abdominal distention, or duodenal obstruction. [1][2][3][4] Children with SHCs that are enlarging or greater than 3 cm should be referred for surgical evaluation because of the risk of biliary obstruction, hemorrhage, torsion, rupture, caval obstruction, and risk of malignant transformation (squamous cell carcinoma). 1,3 Our patient was asymptomatic, but her cyst had grown over several weeks.…”