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Scarless surgery for a huge liver cyst: A case report
INTRODUCTION: Symptomatic or complicated liver cysts sometimes require surgical intervention and laparoscopic fenestration is the definitive treatment for these cysts. We performed minimally invasive surgery, hybrid natural orifice transluminal endoscopic surgery (NOTES) without scarring, for a huge...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5597879/ https://www.ncbi.nlm.nih.gov/pubmed/28898797 http://dx.doi.org/10.1016/j.ijscr.2017.08.053 |
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author | Kashiwagi, Hiroyuki Kawachi, Jun Isogai, Naoko Ishii, Masanori Miyake, Katsunori Shimoyama, Rai Fukai, Ryota Ogino, Hidemitsu |
author_facet | Kashiwagi, Hiroyuki Kawachi, Jun Isogai, Naoko Ishii, Masanori Miyake, Katsunori Shimoyama, Rai Fukai, Ryota Ogino, Hidemitsu |
author_sort | Kashiwagi, Hiroyuki |
collection | PubMed |
description | INTRODUCTION: Symptomatic or complicated liver cysts sometimes require surgical intervention and laparoscopic fenestration is the definitive treatment for these cysts. We performed minimally invasive surgery, hybrid natural orifice transluminal endoscopic surgery (NOTES) without scarring, for a huge liver cyst. PRESENTATION OF CASE: An 82-year-old female presented with a month-long history of right upper abdominal pain. We diagnosed her condition as a huge liver cyst by morphological studies. She denied any history of abdominal trauma. Her serum CEA and CA19-9 were normal and a serum echinococcus serologic test was negative. Laparoscopic fenestration, using a hybrid NOTES procedure via a transvaginal approach, was performed for a huge liver cyst because we anticipated difficulty with an umbilical approach, such as single incision laparoscopic surgery (SILS). Her post-operative course was uneventful and she was discharged from our hospital three days after surgery. Pain killers were not required during and after hospitalization. No recurrence of the liver cyst or bulging was detected by clinical examination two years later. DISCUSSION: A recent trend of laparoscopic procedure has been towards minimizing the number of incisions to achieve less invasiveness. This hybrid NOTES, with a small incision for abdominal access, along with vaginal access, enabled painless operation for a huge liver cyst. CONCLUSION: We report a huge liver cyst treated by hybrid NOTES. This approach is safe, less invasive, and may be the first choice for a huge liver cyst. |
format | Online Article Text |
id | pubmed-5597879 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-55978792017-09-21 Scarless surgery for a huge liver cyst: A case report Kashiwagi, Hiroyuki Kawachi, Jun Isogai, Naoko Ishii, Masanori Miyake, Katsunori Shimoyama, Rai Fukai, Ryota Ogino, Hidemitsu Int J Surg Case Rep Article INTRODUCTION: Symptomatic or complicated liver cysts sometimes require surgical intervention and laparoscopic fenestration is the definitive treatment for these cysts. We performed minimally invasive surgery, hybrid natural orifice transluminal endoscopic surgery (NOTES) without scarring, for a huge liver cyst. PRESENTATION OF CASE: An 82-year-old female presented with a month-long history of right upper abdominal pain. We diagnosed her condition as a huge liver cyst by morphological studies. She denied any history of abdominal trauma. Her serum CEA and CA19-9 were normal and a serum echinococcus serologic test was negative. Laparoscopic fenestration, using a hybrid NOTES procedure via a transvaginal approach, was performed for a huge liver cyst because we anticipated difficulty with an umbilical approach, such as single incision laparoscopic surgery (SILS). Her post-operative course was uneventful and she was discharged from our hospital three days after surgery. Pain killers were not required during and after hospitalization. No recurrence of the liver cyst or bulging was detected by clinical examination two years later. DISCUSSION: A recent trend of laparoscopic procedure has been towards minimizing the number of incisions to achieve less invasiveness. This hybrid NOTES, with a small incision for abdominal access, along with vaginal access, enabled painless operation for a huge liver cyst. CONCLUSION: We report a huge liver cyst treated by hybrid NOTES. This approach is safe, less invasive, and may be the first choice for a huge liver cyst. Elsevier 2017-09-01 /pmc/articles/PMC5597879/ /pubmed/28898797 http://dx.doi.org/10.1016/j.ijscr.2017.08.053 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article Kashiwagi, Hiroyuki Kawachi, Jun Isogai, Naoko Ishii, Masanori Miyake, Katsunori Shimoyama, Rai Fukai, Ryota Ogino, Hidemitsu Scarless surgery for a huge liver cyst: A case report |
title | Scarless surgery for a huge liver cyst: A case report |
title_full | Scarless surgery for a huge liver cyst: A case report |
title_fullStr | Scarless surgery for a huge liver cyst: A case report |
title_full_unstemmed | Scarless surgery for a huge liver cyst: A case report |
title_short | Scarless surgery for a huge liver cyst: A case report |
title_sort | scarless surgery for a huge liver cyst: a case report |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5597879/ https://www.ncbi.nlm.nih.gov/pubmed/28898797 http://dx.doi.org/10.1016/j.ijscr.2017.08.053 |
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