Resection of giant hepatic cyst by hybrid minilaparoscopy

Carvalho, Gustavo; Góes, Gustavo; Furtado, Raimundo Hugo Matias; Cordeiro, Raquel Nogueira; Calheiros, Eduarda

doi:10.4103/jmas.jmas_68_18

Cited by 2 publications

(1 citation statement)

References 4 publications

(12 reference statements)

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“…Besides, due to its smaller size, minilaparoscopy allows a better visualization of the surgical field. Other more complex procedures have also been described [17][18][19] .…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive surgical treatment in patients with immunological thrombocytopenic purpura

Carvalho

Lima²,

Cordeiro³

et al. 2020

Rev. Med. (São Paulo)

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Two female patients, one 28 years-old, and the other 61 years-old, with a history of asthenia, purpura and thrombocytopenia (both <15,000 platelets / mm3). Once other etiologies were excluded, and the diagnosis of immune thrombocytopenic purpura (ITP) was established, corticoid therapy was started in both cases. However, the patients remained with a platelet count <20,000 / mm3, characterizing refractory ITP, and the splenectomy was indicated. The surgical team opted for a hybrid minimally invasive surgical procedure. Providing a better visualization of the surgical field, less abdominal trauma, greater technical dexterity, and early hospital discharge, the use of minilaparoscopic instruments proved to be a safe and effective approach for these patients.

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“…Besides, due to its smaller size, minilaparoscopy allows a better visualization of the surgical field. Other more complex procedures have also been described [17][18][19] .…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive surgical treatment in patients with immunological thrombocytopenic purpura

Carvalho

Lima²,

Cordeiro³

et al. 2020

Rev. Med. (São Paulo)

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Laparoscopic deroofing of simple liver cysts: do ancillary techniques, surgical devices, and indocyanine green improve outcomes?

et al. 2023

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Summary Background Giant liver cysts causing compression symptoms require surgical therapy. Laparoscopy is nowadays considered the first-line approach and has been shown to be non-inferior to open surgery. Ancillary techniques and novel technologies may have the potential to reduce complications rates and improve long-term outcomes. Methods The management of a female patient with a giant and symptomatic liver cyst is reported, as is a literature search in PubMed and Scopus spanning the past two decades, with the aim of assessing current evidence regarding procedural details of laparoscopic deroofing. Results Wide laparoscopic deroofing of a 21-cm liver cyst arising from segment 6 was safely performed under indocyanine green fluorescence imaging using a combination of ultrasonic energy excision and stapling. A contemporary literature review showed that only 22 of the 35 publications included details of the surgical procedure. Ancillary techniques such as omentopexy, argon plasma coagulation, monopolar radiofrequency device ablation, and ethanol sclerotherapy were rarely used (10.8% of patients). Use of energy devices and/or linear staplers was reported in 22 (62.8%) studies. Indocyanine green fluorescence was reported in 4 (11.4%) studies. Conclusion The case report and the literature review show that wide laparoscopic deroofing of giant liver cysts is an effective and relatively simple procedure. Use of emerging technology such as indocyanine green fluorescence imaging can further enhance precision surgery and minimize complications and long-term recurrence rates.

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Resection of giant hepatic cyst by hybrid minilaparoscopy

Cited by 2 publications

References 4 publications

Minimally invasive surgical treatment in patients with immunological thrombocytopenic purpura

Minimally invasive surgical treatment in patients with immunological thrombocytopenic purpura

Laparoscopic deroofing of simple liver cysts: do ancillary techniques, surgical devices, and indocyanine green improve outcomes?

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