간내 낭종성 질환의 수술방법에 따른 결과 비교

• Published in: Annals of surgical treatment and research Vol. 64; no. 2; pp. 153 - 159
• Main Authors: 문덕복(Deok-Bog Moon), 김성철(Sung Cheol Kim), 이영주(Young Joo Lee), 박광민(Kwang Min Park), 황신(Shin Hwang), 김기훈(Ki Hun Kim), 안철수(Chul Soo Ahn), 전장용(Jang Yeong Jeon), 주선형(Sun Hyung Joo), 주종우(Chong Woo Chu), 양현승(Hyun Seung Yang), 하태용(Tae Yong Ha), 조성훈(Sung Hun Cho), 오기봉(Ki Bong Oh), 이승규(Sung Gyu Lee)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.02.2003
• Subjects: 일반외과학
• ISSN: 2288-6575; 2288-6796

Purpose: Symptomatic and/or malignant changes in hepatic cysts require surgical treatment, but there are few comparative studies with respect to the safety and long-term effectiveness. We compared the resection and non-resection of hepatic cysts from the view point of recurrence and complications. Methods: We reviewed 24 patients who underwent surgery for hepatic cysts between 1990 and 2001 at a single institution. There included 15 resections and 9 non-resections. Results: The median age was 59 years, with a male to female sex ratio of 9：15. The median size of the dominant cyst was 12 cm, and 22 patients presented with symptoms. We treated 12 simple cysts, 3 polycystic liver diseases (PCLD), 3 cystadenomas, 1 cystadenocarcinoma, 2 hamartomas, 1 hydatid cyst, 1 traumatic cyst and 1 other. The causes requiring an operation were peritoneal irritation in 7, a mass effect such as early satiety or jaundice in 5, possible malignancy in 4, associated hepatobiliary diseases in 3, increase of cyst sizes in 2 and another disease in 2. We performed 5 right lobectomies, 2 left lobectomies, 1 left lateral segmentectomy, 3 non-anatomical resections, 3 cyst excisions, and 1 total hepatectomy for liver transplantation in the resection group. 6 unroofings and 3 fenestrations were performed in the non-resection group, in which a laparoscopic approach was applied in 3 cases. The incidence of postoperative complications were uncommon in both groups, whereas resection decreased the recurrence rate significantly (P=0.003). Conclusion: Resection is a safe and effective procedure to lower the recurrence of all cystic lesions in the liver. (J Korean Surg Soc 2003;64:153-159) KCI Citation Count: 1