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Chirurgia 2000 August;13(4):197-200

language: Italian

Laparoscopic treatment of non-parasitic hepatic and splenic cysts. Personal experience

Latino R., Pistorio R., Virzi A., Vagnoni G.


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Backgrounds. Laparoscopic treatment of non parasitic hepatic and splenic cysts is described as a treatment of choice. A series of seven case is reported and a standardized minimally invasive technique is described.
Methods. From June 1996 to June 1998 five patients underwent laparoscopic surgical treatment for non-parasitic solitary hepatic cysts, and two patients for non-parasitic solitary splenic cysts. Patients with polycystic hepatic disease were not included in our study.
Results. Cysts diameters varied from 7 to 10 cm for splenic cysts, and from 7 to 15 cm for hepatic cysts. The mean operation time was 90 min for laparoscopic fenestration of hepatic cysts and 50 min for splenic cysts. The mean postoperative hospital stay was 3 days. There was no morbility or mortality. During the mean follow-up time of 12.6 months in no cases recurrences were observed.
Conclusions. The treatment of choice for solitary hepatic and splenic cysts which gives good results is laparoscopic fenestration and wide resection of the external part of the cyst followed by the transposition of an omental flap into the remaing cyst cavity to prevent recurrences. Laparoscopic treatment of non-parasitic hepatic and splenic cysts depends on cysts' kind, dimensions and localization. This technique allows ample access for surgical treatment of solitary cysts in segments II, III, V, VIII of the liver; the posterior segments are difficult to approach laparoscopically.

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