Long-term results after surgical treatment of nonparasitic hepatic cysts

被引:34
作者
Loehe, F. [1 ]
Globke, B. [1 ]
Marnoto, R. [1 ]
Bruns, C. J. [1 ]
Graeb, C. [1 ]
Winter, H. [1 ]
Jauch, K. -W. [1 ]
Angele, M. K. [1 ]
机构
[1] Univ Munich, Klinikum Grosshadern, Dept Surg, D-81377 Munich, Germany
关键词
Solitary liver cyst; Polycystic liver disease; Laparoscopic deroofing; Quality of life; Liver transplantation; POLYCYSTIC LIVER-DISEASE; LAPAROSCOPIC FENESTRATION; PERCUTANEOUS ASPIRATION; MANAGEMENT; TRANSPLANTATION; EXPERIENCE; SCLEROTHERAPY; SURGERY; OPTIONS;
D O I
10.1016/j.amjsurg.2009.06.031
中图分类号
R61 [外科手术学];
学科分类号
摘要
BACKGROUND: Studies evaluating surgical success in patients with benign liver cysts focus on cyst recurrence. The aim of this study was to evaluate the efficacy of surgical treatment with regard to clinical complaints. MATERIALS AND METHODS: Between 1995 and 2007, 99 patients (M:F 1:7.25) with symptomatic, benign, nonparasitic liver cysts (77 simple liver cysts [SLCs], 22 polycystic liver disease [PCLD]) underwent surgical treatment (77% laparoscopic surgery, 23% open surgery). Perioperative parameters (including morbidity) were evaluated. Moreover, a questionnaire was completed by 65 patients monitoring subjective complaints focusing on abdominal pain, vegetative symptoms, and dyspnea pre- and postoperatively (mean follow-up 76 months). RESULTS: Severe complications occurred in 7 patients. Abdominal pain, vegetative symptoms, and dyspnea were significantly improved in SLC patients. In PCLD patients abdominal pain and dyspnea were significantly decreased, whereas vegetative symptoms were unaffected by surgery. The symptom recurrence rate for SLC patients was significantly lower compared with PCLD patients (41% vs 66.6%). CONCLUSION: Indications for surgical treatment of PCLD should be well considered and limited to a selected group of patients. (C) 2010 Elsevier Inc. All rights reserved.
引用
收藏
页码:23 / 31
页数:9
相关论文
共 37 条
[1]  
Bai XL, 2007, HEPATOB PANCREAT DIS, V6, P600
[2]   ECOGRAPHIC EPIDEMIOLOGY OF NONPARASITIC HEPATIC CYSTS [J].
CAREMANI, M ;
VINCENTI, A ;
BENCI, A ;
SASSOLI, S ;
TACCONI, D .
JOURNAL OF CLINICAL ULTRASOUND, 1993, 21 (02) :115-118
[3]   Solitary hepatic cysts [J].
Cowles, RA ;
Mulholland, MW .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2000, 191 (03) :311-321
[4]   FENESTRATION IN THE MANAGEMENT OF POLYCYSTIC LIVER-DISEASE [J].
FARGES, O ;
BISMUTH, H .
WORLD JOURNAL OF SURGERY, 1995, 19 (01) :25-30
[5]   Laparoscopic treatment of simple hepatic cysts and polycystic liver disease [J].
Fiamingo, P ;
Tedeschi, U ;
Veroux, M ;
Cillo, U ;
Brolese, A ;
Da Rold, A ;
Madia, C ;
Zanus, G ;
D'Amico, DF .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2003, 17 (04) :623-626
[6]   THE PREVALENCE AND CHARACTERIZATION OF SIMPLE HEPATIC CYSTS BY ULTRASOUND EXAMINATION [J].
GAINES, PA ;
SAMPSON, MA .
BRITISH JOURNAL OF RADIOLOGY, 1989, 62 (736) :335-337
[7]   Nine-year single-center experience with nonparastic liver cysts: Diagnosis and management [J].
Garcea, G. ;
Pattenden, C. J. ;
Stephenson, J. ;
Dennison, A. R. ;
Berry, D. P. .
DIGESTIVE DISEASES AND SCIENCES, 2007, 52 (01) :185-191
[8]  
Gigot Jean-Francois, 2004, HPB (Oxford), V6, P197, DOI 10.1080/13651820410023950
[9]   The surgical management of congenital liver cysts - The need for a tailored approach with appropriate patient selection and proper surgical technique [J].
Gigot, JF ;
Metairie, S ;
Etienne, J ;
Horsmans, Y ;
van Beers, BE ;
Sempoux, C ;
Deprez, P ;
Materne, R ;
Geubel, A ;
Glineur, D ;
Gianello, P .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2001, 15 (04) :357-363
[10]   Adult polycystic liver disease - Is fenestration the most adequate operation for long-term management? [J].
Gigot, JF ;
Jadoul, P ;
Que, F ;
VanBeers, BE ;
Etienne, J ;
Horsmans, Y ;
Collard, A ;
Geubel, A ;
Pringot, J ;
Kestens, PJ .
ANNALS OF SURGERY, 1997, 225 (03) :286-294