Capizzi Daniele, Patrizi Patrizio, Boschi Sergio, Fogli Luciano, Berta Rossana, Capizzi Francesco Domenico
Unità Operativa Complessa di Chirurgia Generale ad Indirizzo Gastroenterologico e Laparoscopico, Ospedale Maggiore, Bologna.
Chir Ital. 2008 Nov-Dec;60(6):873-7.
The preoperative diagnosis of polycystic liver is easily obtainable by ultrasound, while computed tomography is more sensitive for making the differential diagnosis versus other hepatic lesions. This report describes a case of polycystic liver with mass-related symptoms. A laparoscopic fenestration of the larger and superficial cysts was performed. At a three-years follow-up neither postoperative complications nor recurrent episodes were observed. A number of studies have shown that the rates of cyst and symptom recurrence are 9% and 4.5%, respectively, and that the reduction of liver volume is 12.5%. in our opinion the choice of adequate treatment must be based on an accurate evaluation of the patient's clinical aspects and on tthe characteristics of cystic lesions, such as number, size and location. In conclusion, laparoscopic fenestration of liver cysts is a safe, effective procedure for obtaining excellent outcomes in terms of absence of recurrence, as well as being a more sparing approach.
多囊肝的术前诊断通过超声检查很容易实现，而计算机断层扫描在与其他肝脏病变进行鉴别诊断时更为敏感。本报告描述了一例伴有与肿块相关症状的多囊肝病例。对较大且表浅的囊肿进行了腹腔镜开窗术。在三年的随访中，未观察到术后并发症或复发情况。多项研究表明，囊肿复发率和症状复发率分别为9%和4.5%，肝脏体积缩小12.5%。我们认为，选择适当的治疗方法必须基于对患者临床情况的准确评估以及囊性病变的特征，如数量、大小和位置。总之，肝囊肿腹腔镜开窗术是一种安全、有效的手术方法，在无复发方面可获得良好效果，也是一种更具保留性的方法。
