Veroux M, Fiamingo P, Cillo U, Tedeschi U, Brolese A, Veroux P, Basso S, Buffone A, D'Amico D F
Department of Surgery, Transplantation, and Advanced Technologies, University Hospital of Catania, Via S.Sofia, Catania, 78 95123, Italy.
Surg Endosc. 2005 Aug;19(8):1077-81. doi: 10.1007/s00464-004-2229-9. Epub 2005 May 26.
This study aimed to evaluate the incidence of cystadenoma diagnosis in a series of laparoscopic treatments for nonparasitic liver cysts, as well as its management.
From 1996 to 2004, 26 patients with a nonparasitic cyst of the liver were selected for laparoscopic liver surgery. Solitary nonparasitic liver cysts were, whenever feasible, completely enucleated.
In four patients, the histopathologic examination showed a cystadenoma. Three patients with 13, 9, and 12-cm cysts, respectively, had undergone complete enucleation of the lesion, with no evidence of recurrence in the follow-up visit. One patient with multicystic liver experienced a recurrence and required an open hepatic resection.
When a complete laparoscopic enucleation of the cyst can be ensured, a strict follow-up assessment should be considered as the definitive treatment, with surgical intervention demanded only in the case of recurrence or high suspicion for malignancy.
