What is the preferred treatment approach to simple hepatic/liver cysts?

Updated: Jun 12, 2018
  • Author: Robert E Glasgow, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

In patients with simple liver cysts, it is generally agreed that laparoscopic unroofing offers the best balance between efficacy and safety. How patients with PCLD should be treated remains less clear because the failure rates for laparoscopic unroofing and fenestration are high. Liver resection, though more effective, carries higher risks. Treatment of hydatid cysts continues to be controversial. As more experience is reported in the literature, indications for PAIR (puncture, aspiration, injection, reaspiration) versus surgery are delineated. [1]


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