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Surgical Endoscopy

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01-08-2005 | Original article

Cystadenoma and laparoscopic surgery for hepatic cystic disease: a need for laparotomy?

Authors: M. Veroux, P. Fiamingo, U. Cillo, U. Tedeschi, A. Brolese, P. Veroux, S. Basso, A. Buffone, D. F. D’Amico

Published in: Surgical Endoscopy | Issue 8/2005

Abstract

Background

This study aimed to evaluate the incidence of cystadenoma diagnosis in a series of laparoscopic treatments for nonparasitic liver cysts, as well as its management.

Methods

From 1996 to 2004, 26 patients with a nonparasitic cyst of the liver were selected for laparoscopic liver surgery. Solitary nonparasitic liver cysts were, whenever feasible, completely enucleated.

Results

In four patients, the histopathologic examination showed a cystadenoma. Three patients with 13, 9, and 12-cm cysts, respectively, had undergone complete enucleation of the lesion, with no evidence of recurrence in the follow-up visit. One patient with multicystic liver experienced a recurrence and required an open hepatic resection.

Conclusions

When a complete laparoscopic enucleation of the cyst can be ensured, a strict follow-up assessment should be considered as the definitive treatment, with surgical intervention demanded only in the case of recurrence or high suspicion for malignancy.

Dixon E, Sutherland FR, Mitchell P, McKinnon G, Nayak V (2001) Cystadenomas of the liver: a spectrum of disease. Can J Surg 44: 371–376PubMed

Fiamingo P, Tedeschi U, Veroux M, Cillo U, Brolese A, Da Rold A, Madia C, Zanus G, D’Amico DF (2003) Laparoscopic treatment of simple hepatic cyst and polycystic liver disease. Surg Endosc 17: 623–626CrossRefPubMed

Florman SS, Slakey DP (1998) Giant biliary cystadenoma: case report and literature review. Am Surg 67: 727–732

Gigot JF, Legrand M, Hubens G, de Ganniere L, Wibin E, Deweer F, Druart ML, Bertrand C, Devriendt H, Droissart R, Tugilimana M, Hauters P, Vereecken L (1996) Laparoscopic treatment of nonparasitic liver cysts: adequate selection of patients and surgical technique. World J Surg 20: 556–561CrossRefPubMed

Ishak KG, Wills GW, Cumins SD, Bullock AA (1977) Biliary cystadenoma and cystadenocarcinoma: report of 14 cases and review of the literature. Cancer 38: 322–338

Koffron A, Ferrario M, Rao S, Abecassis M (2003) Intrahepatic biliary cystadenoma (IBC): role of cyst fluid analysis and surgical management in the laparoscopic era. J Gastrointest Surg 7: 303CrossRef

Korobkin M, Stephens DH, Lee JK, Stanley RJ, Fishman EK, Francis IR, Alpern MB, Rynties M, (1989) Biliary cystadenoma and cystadenocarcinoma: CT and sonographic findings. AJR Am J Roentgenol 153: 507–511PubMed

Kubota E, Katsumi K, Iida M, Kishimoto A, Ban Y, Nakata K, Takahashi N, Kobayashi K, Andoh K, Takamatsu S, Jon T (2003) Biliary cystadenocarcinoma followed up as benign cystadenoma for 10 years. J Gastroenterol 38: 278–282CrossRefPubMed

Lau WY, Chow CH, Leung ML (1990) Total excision of mucinous biliary cystadenoma. A N Z J Surg 60: 226–228

10.

Lewis WD, Jenkins RL, Rossi RL, Munson L, Remine SG, Cady B, Braasch JW, McDermott WV (1988) Surgical treatment of biliary cystadenoma: a report of fifteen cases. Arch Surg 123: 563–568PubMed

11.

Marcial MA, Hauser SC, Cibas ES, Braver J (1986) Intrahepatic biliary cystadenoma: clinical, radiological, and pathological findings. Dig Dis Sci 31: 884–888CrossRefPubMed

12.

Pinson CW, Munson JL, Rossi RL, Braasch JW (1989) Enucleation of intrahepatic biliary cystadenomas. Surg Gynecol Obstet 168: 534–537PubMed

13.

Pinto MM, Kaye AD (1989) Fine-needle aspiration of cystic liver lesions: cytologic examination and carcinoembryonic antigen assay of cyst contents. Acta Cytol 33: 852–856PubMed

14.

Sanchez H, Gagner M, Rossi RL, Jenkins RL, Lewis WD, Munson JL, Braasch JW (1991) Surgical management of nonparasitic cystic liver disease. Am J Surg 1 161: 113–119CrossRef

15.

Subramony C, Herrera GA, Turbat-Herrera EA (1993) Hepatobiliary cystadenoma: a study of five cases with references to histogenesis. Arch Pathol Lab Med 117: 1036–1042PubMed

16.

Tan YM, Ooi LL, Soo KC, Mack POP (2002) Does laparoscopic fenestration provide long-term alleviation for symptomatic cystic disease of the liver? A N Z J Surg 72: 743–747CrossRef

17.

Thomas JA, Scriven MW, Puntis MCA, Jasani B, Williams GT (1992) Elevated serum CA 19-9 levels in hepatobiliary cystadenoma with mesenchymal stroma. Cancer 70: 1841–1846PubMed

18.

Tsiftsis D, Christodoulakis M, de Bree E, Sanidas E (1997) Primary intrahepatic biliary cystadenomatous tumors. J Surg Oncol 64: 341–346CrossRefPubMed

19.

Wee A, Nilsson B, Kang JY, Tan LK, Rauff A (1993) Biliary cystadenoma arising in a cystadenoma: report of a case diagnosed by fine-needle aspiration cytology. Acta Cytol 37: 966–970PubMed

20.

Zacherl J, Scheuba C, Imhof M, Jakesz R, Fugger R (2000) Long-term results after laparoscopic unroofing of solitary symptomatic congenital liver cysts. Surg Endosc 14: 59–62CrossRefPubMed

Title: Cystadenoma and laparoscopic surgery for hepatic cystic disease: a need for laparotomy?
Authors: M. Veroux
P. Fiamingo
U. Cillo
U. Tedeschi
A. Brolese
P. Veroux
S. Basso
A. Buffone
D. F. D’Amico
Publication date: 01-08-2005
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 8/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-004-2229-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Cystadenoma and laparoscopic surgery for hepatic cystic disease: a need for laparotomy?

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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