| 篇名 |
Giant Liver Cysts: Laparoscopic Fenestration vs. Percutaneous Aspiration with Alcohol Sclerosant Therapy |
| 作者 |
Hong-Yi Tung, Hong-Yaw Chen, Min-Yan Yang, Chung-Hunk Nee, Chon-Chou Juan, Chen-Guo Ker |
| 卷期/出版年月 |
42卷2期 (2009/4) |
| 頁次 |
78-86 |
| 摘要 |
Background: Liver cysts are common and most of them are asymptomatic. Giant
and symptomatic cysts can be treated by using various treatment modalities.
Comparison of laparoscopic fenestration (LF) and echo-guided needle aspiration
(ENA) combined with injection of alcohol as a sclerosant for ablation of the
endothelium of the cysts was made in this study.
Methods: Between 1996 and 2006, thirty-nine patients (15 males and 24 females)
with non-parasitic liver cysts were encountered. A solitary cyst (Type I) was found in
15 patients (38%) and multiple cysts (Type II and III) in 24 patients (52%) based on
imaging studies. Laparoscopic cyst fenestration was performed in 26 patients (67%),
and 13 patients (33%) underwent percutaneous ENA.
Results: Eight of the eleven patients (73%) having a Type I cyst had a more than
60% decrease of cyst size after LF treatments. In total, four out of 13 (31%) ENA
patients and 12 out of 26 LF patients (46%) had a 60% decrease in size. There
seemed to be some advantage of LF over ENA as regards the decrease of cyst
volume,but the difference did not reach the significant level (p=0.565). Symptom
recurrence was 19% (5/26) and 31% (4/13) for LF and ENA, respectively (P=0.447)
after follow-up studies.
Conclusions: The choice of LF or ENA must be based on an evaluation of the type
of cystic lesions. The data obtained in this retrospective study allowed us to
demonstrate the outcomes in terms of reduction in cyst volume, but the difference
between the LF and ENA methods failed to show statistatical significance in this
study. |
| 關鍵詞 |
liver cyst, laparoscopic fenestration, alcohol sclerosant therapy |
| 分類 |
Original Article |
