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  • Title: Cystadenoma and laparoscopic surgery for hepatic cystic disease: a need for laparotomy?
    Author: Veroux M, Fiamingo P, Cillo U, Tedeschi U, Brolese A, Veroux P, Basso S, Buffone A, D'Amico DF.
    Journal: Surg Endosc; 2005 Aug; 19(8):1077-81. PubMed ID: 16021374.
    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.
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