Laparoscopic Management of Benign Nonparasitic Hepatic Cysts: A Prospective Nonrandomized Study

Abstract

Laparoscopic management of congenital hepatic cysts has become the new gold standard, associated with minimum morbidity and good long-term outcome.

Management of Giant Liver Cysts

“…Giant liver cysts are found almost exclusively in women over fifty y of age [2]. The majority of our patients were female (83%) with a mean age of 59.2 y, a finding which correlates with many other studies [2,5,6,10,11,14], except Palanivelu et al [13], who found that 81% of patients were male.…”

“…Most liver cysts are asymptomatic; however, when they do become symptomatic, the most common presenting symptom in most studies, including the present study, is abdominal pain [3,6,10,13,14]. Giant liver cysts are found almost exclusively in women over fifty y of age [2].…”

Single-Access Transumbilical Laparoscopic Unroofing of a Giant Hepatic Cyst Using Reusable Instruments

“…Our operative time remains in the interval time reported in the literature during multitrocar laparoscopic liver cyst unroofing 11,23 and comparable to the 60–100 minutes reported during SAL. 5,17-18,20 …”

How to Prevent Lateral Thermal Damage to Tissue Using the Harmonic Scalpel: Experimental Study on Pig Small Intestine and Abdominal Wall

“…The harmonic scalpel is used in many different operations, including cholecystectomy [2,5,8] , appendectomy [2,9] , fenestration of abdominal cysts [2,10] , reflux esophagitis procedures [11] , large bowel operations [12][13][14] , stomach resection [15][16][17] , liver resection [18] , splenectomy [19] , and fenestration of non-parasitic spleen and liver cysts [20][21][22] . Recently, the harmonic scalpel has been used in transanal endoscopic microsurgery [23][24][25] , endoscopic inguinal and abdominal wall hernia operations [2,26,27] , and hemorrhoidectomy [28] .…”