Laparoscopic management of simple hepatic cysts

Abstract

Aim: To describe the clinical features, surgical, and long-term follow-up outcomes of patients with symptomatic simple hepatic cysts who underwent laparoscopic deroofing or fenestration. Materials and methods: Retrospective and descriptive series of patients with symptomatic simple hepatic cysts treated with laparoscopic deroofing or fenestration between January 2013 to December 2021. Results: Eight patients were included, seven (88%) were females and one (12%) male. The average age was 57 years (range 45–86 years). Pain was the most frequent symptom in seven patients (88%), followed by early fullness in one patient (12%). The average size of the dominant cyst was 12.8 cm (range 6–20 cm) and liver segment IV was the most frequently involved. The length of hospital stay was 2 days. One patient (12%) had major morbidity and required reoperation. There was not postoperative mortality. One patient developed symptomatic recurrence ten months after the first surgery and required a new laparoscopic deroofing. Conclusions: L paroscopic fenestration or deroofing is a safe and effective procedure for the treatment of symptomatic simple hepatic cysts.