Long-term results after surgical treatment of nonparasitic hepatic cysts

• Published in: The American journal of surgery Vol. 200; no. 1; pp. 23 - 31
• Main Authors: Loehe, F., M.D, Globke, B., M.D, Marnoto, R, Bruns, C.J., M.D, Graeb, C., M.D, Winter, H., M.D, Jauch, K.-W., M.D, Angele, M.K., M.D
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.07.2010; Elsevier Limited
• Subjects: Abdomen; Abdominal Pain - etiology; Abdominal Pain - pathology; Abdominal Pain - prevention & control; Adult; Aged; Aged, 80 and over; Benign; Classification; Cohort Studies; Complications; Congenital diseases; Cysts; Cysts - complications; Cysts - pathology; Cysts - surgery; Dyspnea; Dyspnea - diagnosis; Dyspnea - etiology; Dyspnea - prevention & control; Family medical history; Female; Gastroesophageal reflux; Hospitals; Humans; Laparoscopic deroofing; Laparoscopy; Length of Stay; Liver; Liver diseases; Liver Diseases - complications; Liver Diseases - pathology; Liver Diseases - surgery; Liver transplantation; Liver transplants; Male; Middle Aged; Morbidity; Pain; Patients; Polycystic liver disease; Quality of life; Recurrence; Respiration; Retrospective Studies; Solitary liver cyst; Surgery; Time Factors; Tomography; Transplants & implants; Treatment Outcome; Ultrasonic imaging; Young Adult; Laparoscopic deroofing; Solitary liver cyst; Polycystic liver disease; Quality of life; Liver transplantation
• ISSN: 0002-9610; 1879-1883
• DOI: 10.1016/j.amjsurg.2009.06.031

Abstract Background Studies evaluating surgical success in patients with benign liver cysts focus on cyst recurrence. The aim of this study was to evaluate the efficacy of surgical treatment with regard to clinical complaints. Materials and methods Between 1995 and 2007, 99 patients (M:F 1:7.25) with symptomatic, benign, nonparasitic liver cysts (77 simple liver cysts [SLCs], 22 polycystic liver disease [PCLD]) underwent surgical treatment (77% laparoscopic surgery, 23% open surgery). Perioperative parameters (including morbidity) were evaluated. Moreover, a questionnaire was completed by 65 patients monitoring subjective complaints focusing on abdominal pain, vegetative symptoms, and dyspnea pre- and postoperatively (mean follow-up 76 months). Results Severe complications occurred in 7 patients. Abdominal pain, vegetative symptoms, and dyspnea were significantly improved in SLC patients. In PCLD patients abdominal pain and dyspnea were significantly decreased, whereas vegetative symptoms were unaffected by surgery. The symptom recurrence rate for SLC patients was significantly lower compared with PCLD patients (41% vs 66.6%). Conclusion Indications for surgical treatment of PCLD should be well considered and limited to a selected group of patients.