RT Book, Section
A1 Hunter, John G.
A1 Spight, Donn H.
A1 Sandone, Corinne
A1 Fairman, Jennifer E.
SR Print(0)
ID 1162531049
T1 Management of Simple Hepatic Cysts
T2 Atlas of Minimally Invasive Surgical Operations
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071449052
LK accesssurgery.mhmedical.com/content.aspx?aid=1162531049
RD 2023/03/23
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.