Surgical strategy for treatment of nonparasitic hepatic cysts

VernacularTitle:外科治疗非寄生虫性肝囊肿的选择策略
Author: Xiaodong HAN ; Pin ZHANG ; Qi ZHENG ; Jing YAO ; Yu WANG
Publication Type:Journal Article
Keywords: Cyst,hepatic; Surgical treatment; Prognosis
From: Chinese Journal of Hepatobiliary Surgery 2010;16(8):573-575
CountryChina
Language:Chinese
Abstract: Objective To define the indications and evaluate the results of various surgical treatment options in patients with nonparasitic hepatic cysts. Methods The clinical data of 284 patients with nonparasitic hepatic cysts treated in our hospital from January 1995 to December 2005 were retrospectively analyzed. Results Percutaneous aspiration and sclerotherapy were performed in 161 cases and complications occurred in 9 (5.59%), recurrence in 53 (32.92%) and the mortality was 0%.Open surgery was conducted in 71 cases and the complications occurred in 16 (22.54%), recurrence in 8 cases (11.27%) and the mortality was 2.82%. Laparoscopic surgery was employed in 52 cases and complications occurred in 7 ( 13.46%), recurrence in 6 (11.54%) and the mortality was 1.92%.Conclusion There is currently no general agreement in the literature concerning when nonparasitic hepatic cysts should be treated. Laparoscopic surgery was more favorable than other therapeutic options.However, we should choose individually suitable methods according to different clinical symptom of patients.