JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 13, Issue 2 (April 2008)
Japanese

Laparoscopic fenestration of nonparasitic liver cysts : long term results Shinichi UENO 1 , Masahiko SAKODA 1 , Fumitake KUBO 1 , Kiyokazu HIWATASHI 1 , Taro TATENO 1 , Masaki KITAZONO 1 , Hiroyuki SHINCHI 1 , Shouji NATSUGOE 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.209-214
Published Date 2008/4/15
DOI https://doi.org/10.11477/mf.4426100176
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 The outcomes of laparoscopic fenestration were reviewed in 12 patients who had been followed for more than 1 year after the procedure. Among the 12 patients, 8 patients had simple large cysts(Simple)and 4 patients had adult polycystic liver disease(APLD). The average number of fenestrated cysts was 1.7 and 6-20 for Simple and APLD groups, respectively. The average time of surgery was 3.2 hours. In 3 patients with simple cysts, the cauterization was inadequate and the mean drainage volume was 380 ml on the 5th postoperative day. However, after the drain had been removed, there was no problem and the cyst did not recur. The fenestration of the upper liver area was inadequate in 1 patient, and re-fenestration was necessary because of the recurrent cyst. In another patient, left hepatic lobe was resected because the left hepatic duct ran solely on the surface of the large cyst and it was injured as a complication of the fenestration.

 For APLD patients with decreased renal function, abdominal distention did not ameliorate easily. However, for patients whose renal function was preserved, the abdominal distention was better and the symptoms relaxed for approximately 3 years after the procedure. Laparoscopic fenestration is useful for patients with simple large cysts, if the pitfall of the procedure is understood. For patients with APLD, the procedure may be useful when the patients'renal function is preserved.


Copyright © 2008, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

13446703.13.2.jpg
日本内視鏡外科学会雑誌
13巻2号 (2008年4月)
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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