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Japanese

Laparoscopic fenestration for nonparastic liver cysts Shin-ichi UENO 1 , Masahiko SAKODA 1 , Fumitake KUBO 1 , Kiyokazu HIWATASHI 1 , Taro TATENO 1 , Shoji NATSUGOE 1 , Takashi AIKOU 1 1Department of Surgical Oncology and Digestive Surgery, Graduate School of Medicine and Dental Sciences, Kagoshima University Keyword: 肝囊胞 , 開窓術 , 腹腔鏡下手術 pp.509-514
Published Date 2007/10/15
DOI https://doi.org/10.11477/mf.4426100097
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 Laparoscopic fenestration(LF)has been performed on patients with simple large cysts and with adult polycystic liver disease(APLD). In this report, we showed the essential preoperative studies, surgical method and its pitfall, and the outcome in LF. Intracystic fluid and cystic wall thickness, and the anatomical relation with the surrounding tissues and organs should be carefully evaluated preoperatively. Compared to fenestration under open laparotomy, some surgical procedures and identification of vascula-run may be difficult in some cases. Fenestration and the cauterization of cyst lumen basal surface tend to become inadequate in cysts located at S7 and S8 of the liver. Because LF is less-invasive and repeatable, it is not necessary to perform radical cure immediately. With these considerations, LF could be a useful method for patients with simple large cysts. For patients with APLD, the method would be useful when the patients'renal function is preserved.


Copyright © 2007, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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