TY - CHAP M1 - Book, Section TI - Management of Simple Hepatic Cysts A1 - Hunter, John G. A1 - Spight, Donn H. A1 - Sandone, Corinne A1 - Fairman, Jennifer E. Y1 - 2018 N1 - T2 - Atlas of Minimally Invasive Surgical Operations AB - Nonparasitic liver cysts are a frequently encountered entity for most surgeons. Although these are rarely large enough to warrant operation, most cases that require surgical intervention can be managed safely and effectively using standard laparoscopic techniques. These lesions are typically discovered incidentally on abdominal imaging performed for other indications. On occasion, symptoms related to stretch of the liver capsule can lead to complaints of epigastric or right upper quadrant pain. Other symptoms that might prompt workup and discovery of these lesions are related to compression of adjacent organs, particularly the stomach. Patients may complain of early satiety, bloating, or upper abdominal fullness. Hepatic cysts may become secondarily infected, but should be differentiated from hepatic abscess. Pain symptoms, especially if abrupt in onset, might indicate hemorrhage into the cyst cavity and require careful patient monitoring. Women are far more likely to present with symptomatic liver cysts. Most solitary, simple cysts can be managed conservatively; operative intervention is indicated for large (>8 cm) cysts with symptoms attributable to the hepatic cyst. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1162531049 ER -