Treatment of biliary cysts of the liver

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75 patients with biliary liver cysts has been operated on since 1992. 49.3% (n=37) had solitary liver cysts, 50.7% (n=38) - multiple cysts. All patients were divided in 2 groups. Destruction of the functioning intraparenchymatous cyst wall was performed in patients, included in the first group (n=40; 53.3%); no destruction of the epithelial lining was performed in in the second group (n=35; 46.7%). 60 (80%) patients were laparotomized, 12 (16%) were operated on laparoscopically, ultrasound-giuded puncter was performed in 3 (4%) patients. Postoperative complications were registered in 6 (8%) patients after laparotomy; 2 (2.7%) patients after laparoscopic treatment and 1 (1.3%) after US-guided manipulations. Recurrence was registered in 2 (3.2%) patients of the first gfoup. There were no cyst recurrences among patients of the second group. Therefore, laparoscopic management of of biliary liver cysts is considered to be the method of choice. When latter is impossible, maximal cystic wall resection with destruction of the epithelial lining should be performed.

Keywords:

nonparasitic hepatic cyst

epithelial lining destruction

residual cavity

Authors:

Skipenko O.G.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. B.V. Petrovskogo RAMN, Moskva

Bagmet N.N.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Kochieva M.P.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Tarasiuk T.I.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

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