What are the technical points in surgical therapy for 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

Expose the entire target area (mobilize the liver if necessary), and mark the intended excision line. Begin unroofing at the dependent margin (see the video below).

Initial penetration of hepatic cyst with drainage of cyst fluid.

The ultrasonic scalpel produces less smoke and achieves better hemostasis than the monopolar cautery does.

Saucerize the large cysts (see the video below).

Unroofing of hepatic cyst.

Fill the intraparenchymal cavities with omentum (see the video below).

Omentum sutured to excised margin.

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