Long-term Patient-reported Outcomes After Laparoscopic Fenestration of Symptomatic Liver Cysts

• Published in: Surgical laparoscopy, endoscopy & percutaneous techniques Vol. 27; no. 4; p. e80
• Main Authors: Kisiel, Aaron, Vass, David G, Navarro, Alex, John, Annie K, Isaac, Johh, Marudanayagam, Ravi, Mirza, Darius F, Muiesan, Paolo, Roberts, Keith, Sutcliffe, Robert P
• Format: Journal Article
• Language: English
• Published: United States 01.08.2017
• Subjects: Aged; Conversion to Open Surgery - statistics & numerical data; Cysts - surgery; Female; Follow-Up Studies; Humans; Laparoscopy - methods; Length of Stay - statistics & numerical data; Liver Diseases - surgery; Male; Middle Aged; Pain, Postoperative - etiology; Patient Reported Outcome Measures; Patient Satisfaction; Postoperative Complications; Prospective Studies; Recurrence; Reoperation - statistics & numerical data
• ISSN: 1534-4908
• DOI: 10.1097/SLE.0000000000000441

Laparoscopic fenestration is the treatment of choice for symptomatic liver cysts. Despite the benefits of minimally invasive surgery, there is limited data on long-term outcomes after laparoscopic fenestration, in terms of symptom recurrence and quality of life. The purpose of this study was to evaluate long-term patient-reported outcomes and satisfaction following this procedure. All patients who underwent laparoscopic liver cyst fenestration in a single center between 2001 and 2012 were identified from a prospectively maintained database. Long-term patient-reported outcomes including symptom relief and quality of life were prospectively evaluated by a structured telephone interview. A total of 98 patients underwent laparoscopic liver cyst fenestration. The median follow-up was 62 months (range, 22 to 173 mo). Follow-up data was available in 48 patients. Four patients developed radiologically confirmed evidence of recurrence with 3 undergoing further surgery. No mortality was reported in the series. Four complications occurred and the median postoperative length of hospital stay was 2 days (range, 1 to 7 d). Thirty-nine patients received immediate symptomatic relief with 98% reporting long-term satisfaction. Laparoscopic liver cyst fenestration is associated with low morbidity and long-term alleviation of symptoms. This should be considered the treatment modality of choice in managing patients with nonparasitic cysts.