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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2014 April;27(2):79-84
Benignant liver cysts management: our experience
De Werra C., Del Giudice R., Di Micco R., Bracciano L., De Filippo D., Cervotti M., Palumbo R., Aloia S.
Department of General, Geriatric Oncologic Surgery and Advanced Technologies, University Federico II of Naples, Naples, Italy
AIM: The aim of this study was to show our experience about the management of the parasitic and non parasitic benignant liver cysts.
METHODS: From January 1979 to November 2012, in our structure, 433 patients with liver cysts have been assessed; among those, 263 had parasitic cysts and 170 had non parasitic cysts. In the most cases the diagnosis have been made by ultrasonography and by laboratory tests, in few cases we need TC, RMN or ERCP. Serological test like IFA, ELISA, LAT and IHA, have been used to confirm the diagnosis of parasitic cysts. The most frequent clinical presentation of parasitic cysts was abdominal pain, whereas, most frequently, the diagnosis of non parasitic cysts was incidental.
RESULTS: The sensibility of the ultrasonography was about 99% for both parasitic and non parasitic cysts, whereas the specificity was about 65% for parasitic and 85% for non parasitic cysts; TC and RMN have a greater specificity than ultrasonography. Sensibility and specificity of serological test was respectively 98% and 96% for both parasitic and non parasitic cysts. We treated all the 263 patients with parasitic cysts, in most cases we performed a radical cystopericistectomy. We treated only 21 patients with non parasitic cysts; among the patients with non parasitic cysts: one had cystoadenocarcinoma, tree had Caroli’s disease, one had Pseudo Caroli’s disease.
CONCLUSION: The correct diagnosis it is an essential element to differentiate the lots of cystic liver diseases and to perform the best treatment.