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 2023/12/05 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.