Which surgical procedures are used to treat hepatic cysts?

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

Investigating optimal treatments for nonparasitic hepatic cysts, Mazza et al analyzed the outcomes associated with various surgical procedures used to treat these lesions. [17] The study involved the evaluation of data from 131 patients (78 with simple cysts, 53 with PCLD) treated at an institution where the authors practiced.

Mazza et al reported that laparoscopic unroofing or marsupialization (66 patients) completely relieved symptoms from either simple lesions or PCLD, with the procedure's morbidity, mortality, and recurrence rates being, respectively, 2%, 0%, and 2% for patients with simple cysts, and 25%, 0%, and 5% for patients with PCLD. [17] For infected cysts, the investigators' procedure of choice was percutaneous drainage (19 patients), the morbidity, mortality, and recurrence rates for this procedure being, for simple cysts, 0%, 0%, and 75%, respectively, and for PCLD, 0%, 0%, and 20%, respectively


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