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Perioperative Challenges and Surgical Treatment of Large Simple, and Infectious Liver Cyst - A 12-Year Experience

BACKGROUND: Cystic lesions of the liver consist of a heterogeneous group of disorders that can present diagnostic and therapeutic challenges. METHODS: A retrospective review of all medical records of adult patients diagnosed with large (>7 cm) cystic lesions of the liver between January 2000 and...

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Autores principales: Maruyama, Yuichiro, Okuda, Koji, Ogata, Toshiro, Yasunaga, Masafumi, Ishikawa, Hiroto, Hirakawa, Yusuke, Fukuyo, Kenjiro, Horiuchi, Hiroyuki, Nakashima, Osamu, Kinoshita, Hisafumi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3788716/
https://www.ncbi.nlm.nih.gov/pubmed/24098524
http://dx.doi.org/10.1371/journal.pone.0076537
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author Maruyama, Yuichiro
Okuda, Koji
Ogata, Toshiro
Yasunaga, Masafumi
Ishikawa, Hiroto
Hirakawa, Yusuke
Fukuyo, Kenjiro
Horiuchi, Hiroyuki
Nakashima, Osamu
Kinoshita, Hisafumi
author_facet Maruyama, Yuichiro
Okuda, Koji
Ogata, Toshiro
Yasunaga, Masafumi
Ishikawa, Hiroto
Hirakawa, Yusuke
Fukuyo, Kenjiro
Horiuchi, Hiroyuki
Nakashima, Osamu
Kinoshita, Hisafumi
author_sort Maruyama, Yuichiro
collection PubMed
description BACKGROUND: Cystic lesions of the liver consist of a heterogeneous group of disorders that can present diagnostic and therapeutic challenges. METHODS: A retrospective review of all medical records of adult patients diagnosed with large (>7 cm) cystic lesions of the liver between January 2000 and December 2011, at Kurume University Hospital. Cases with polycystic disease were excluded. RESULTS: Twenty three patients were identified. The mean size was 13.9 cm (range, 7-22cm). The majority of simple cysts were found in women (females: males, 2: 21). In 19 patients, the cyst was removed surgically by wide deroofing (laparoscopically in 16 cases, combined with ethanol sclerotherapy in 13 cases). Infection of the liver cyst occurred in one patient, who later underwent central bi-segmentectomy. CONCLUSION: Simple large cysts of the liver can be successfully treated by laparoscopic deroofing and alcohol sclerotherapy. Large hepatic cyst considered to need drainage should be removed surgically to avoid possible infection.
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spelling pubmed-37887162013-10-04 Perioperative Challenges and Surgical Treatment of Large Simple, and Infectious Liver Cyst - A 12-Year Experience Maruyama, Yuichiro Okuda, Koji Ogata, Toshiro Yasunaga, Masafumi Ishikawa, Hiroto Hirakawa, Yusuke Fukuyo, Kenjiro Horiuchi, Hiroyuki Nakashima, Osamu Kinoshita, Hisafumi PLoS One Research Article BACKGROUND: Cystic lesions of the liver consist of a heterogeneous group of disorders that can present diagnostic and therapeutic challenges. METHODS: A retrospective review of all medical records of adult patients diagnosed with large (>7 cm) cystic lesions of the liver between January 2000 and December 2011, at Kurume University Hospital. Cases with polycystic disease were excluded. RESULTS: Twenty three patients were identified. The mean size was 13.9 cm (range, 7-22cm). The majority of simple cysts were found in women (females: males, 2: 21). In 19 patients, the cyst was removed surgically by wide deroofing (laparoscopically in 16 cases, combined with ethanol sclerotherapy in 13 cases). Infection of the liver cyst occurred in one patient, who later underwent central bi-segmentectomy. CONCLUSION: Simple large cysts of the liver can be successfully treated by laparoscopic deroofing and alcohol sclerotherapy. Large hepatic cyst considered to need drainage should be removed surgically to avoid possible infection. Public Library of Science 2013-10-02 /pmc/articles/PMC3788716/ /pubmed/24098524 http://dx.doi.org/10.1371/journal.pone.0076537 Text en © 2013 Maruyama et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Maruyama, Yuichiro
Okuda, Koji
Ogata, Toshiro
Yasunaga, Masafumi
Ishikawa, Hiroto
Hirakawa, Yusuke
Fukuyo, Kenjiro
Horiuchi, Hiroyuki
Nakashima, Osamu
Kinoshita, Hisafumi
Perioperative Challenges and Surgical Treatment of Large Simple, and Infectious Liver Cyst - A 12-Year Experience
title Perioperative Challenges and Surgical Treatment of Large Simple, and Infectious Liver Cyst - A 12-Year Experience
title_full Perioperative Challenges and Surgical Treatment of Large Simple, and Infectious Liver Cyst - A 12-Year Experience
title_fullStr Perioperative Challenges and Surgical Treatment of Large Simple, and Infectious Liver Cyst - A 12-Year Experience
title_full_unstemmed Perioperative Challenges and Surgical Treatment of Large Simple, and Infectious Liver Cyst - A 12-Year Experience
title_short Perioperative Challenges and Surgical Treatment of Large Simple, and Infectious Liver Cyst - A 12-Year Experience
title_sort perioperative challenges and surgical treatment of large simple, and infectious liver cyst - a 12-year experience
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3788716/
https://www.ncbi.nlm.nih.gov/pubmed/24098524
http://dx.doi.org/10.1371/journal.pone.0076537
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