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  • Title: Surgical treatment of nonparasitic cysts of the liver: open versus laparoscopic treatment.
    Author: Treckmann JW, Paul A, Sgourakis G, Heuer M, Wandelt M, Sotiropoulos GC.
    Journal: Am J Surg; 2010 Jun; 199(6):776-81. PubMed ID: 19748071.
    Abstract:
    BACKGROUND: The aim of this study was to compare the immediately postoperative and follow-up results of open and laparoscopic surgery of hepatic cysts in a tertiary hepatobiliary referral center. MATERIALS AND METHODS: From March 1999 to February 2007, 59 patients underwent surgical treatment for nonparasitic liver cysts. Patients were assigned to the laparoscopic (n = 42) or open group (n = 17) for analysis. RESULTS: Three conversions to open procedures had to be performed in the laparoscopic group. One patient had to be reoperated because of a bile leakage in the laparoscopic group. Follow-up examination showed 2 recurrences in the laparoscopic and 3 in the open group. Three out of 17 patients in the open group had to be operated for incisional hernias. Time to previous activities was significantly shorter after laparoscopy. CONCLUSIONS: Laparoscopic treatment of symptomatic nonparasitic liver cysts is superior concerning short- and long-term results in a vast majority of cases.
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