Pattern of liver cysts with their surgical management
DOI:
https://doi.org/10.18203/2320-6012.ijrms20221478Keywords:
Liver cysts, Surgical management, Cystic lesion, LiverAbstract
Background: Liver cysts are seen in up to 5% of the population. 15-16% of such cysts are symptomatic. Symptomatic cysts are found more commonly in women who are over 50 years of age.Simple hepatic cysts are believed to be congenital in origin.
Methods: The observational study was conducted in the department of hepatobiliary department of surgery of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Total of 80 cases were randomly selected for the study. Clinical examination and evaluation were done from July 2013 to June 2014. Proper consent was taken from the respective concern. Statistical analysis of the results was obtained by using window-based computer software statistical packages for social sciences (SPSS-22).
Results: Most of the respondents were female (65%). The male-female ratio was 1:1.9. The mean age was 46.4 (±SD 10.191) years, ranging from 13-76 years. There were 69 non-parasitic diseases and 11 parasitic diseases. Among them 30 patients were diagnosed as liver cyst incidentally and they required no treatment. Liver function was abnormal in 70% patients. It was found from ultrasonography (USG) and computed tomography (CT) scan of abdomen that right lobe involvement (65% and 28% respectively) is more common than left lobe (21.3% and 12% respectively). The most common complication following surgical interventions was haemorrhage (32.4%).
Conclusions: Females are affected most and M:F=1:1.9, usual affected age groups are of 5th decade and common in rural area. Imaging is the best modality for diagnosis of cystic lesions but serological investigations are also helpful.
References
Moorthy K, Mihssin N, Houghton PWJ. The management of simple hepatic cysts:scierotherapy or laparoscopic fenestration. Ann R Coll Surg Engl. 2001;83:409-14.
Chan CY, Tan CHJ, Chew SP, The CH. Laparoscopic Fenestration of a Simple Hepatic Cyst. Singapore Med J. 2001;42(6):268-70.
Pitale A, Bohra AK, Diamond T. Management of symptomatic liver cysts. Ulster Med J. 2002;71(2):106-10.
Larssen TB. Hepatic cysts (Occurrence and effect of single- session alcohol sclerotherapy). University of Bergen. 2006;11-2.
Elesia´rio Marques Caetano-Ju´nior, Marcelo Moura Linhares, De´lcio Matos, Vladimir Schraibman, Jacques Matone,and Sarhan Sidney Saad. Laparoscopic Management of Hepatic Cysts. 2006;16(2):66-72.
Gamblin TC, Holloway SE, Heckman JT, Geller DA. Laparoscopic resection of benign hepatic cysts: a new standard. J Am Coll Surg. 2008;207:731.
Giorgio A, Tarantino L, de Stefano G, Francica G, Mariniello N, Farella N, et al. Hydatid cyst treatment with percutaneous aspiration and ethanol injection. J Ultrasound Med. 2001;20:729-38.
Abu-Eshy SA. Clinical characteristics, diagnosis and surgical management of hydatid cysts. WAJM. 2006;25(2):144-52.
Milicevic M. Hydatid disease. In: Blumgart LH, editor. Surgery of the liver and biliary tract. 2nd edition. Volume 2. Edinburgh, Scotland: Churchill Livingstone. 1994;1121-50.
Fusto N, Kumar V, Abbas AK. Robbin's pathologic basis of
diseases, 7th edition. Philadelphia: W.B. Saunders Company. 2005:351-53.
Dugalić D. Milicevic M, Stevovic D, KneZevic J, Pantic J. Operative procedures in the management of liver hydatidoses. World J Surg. 1982;6(1):115-8.
Ritesh R, Priti C, Anita P, Shashank M, Molly M. Recurrent Hydatid Cyst of Liver with Asymptomatic Concomitant Hydatid Cyst of Lung: An Unusual Presentation-Case Report. Iranian J Parasitol.
Ruiz-Tovar J, López-Buenadicha A, Moreno-Caparros A, Vázquez-Garza JN. Surgical management of simple liver cysts. Cir Cir. 2012;80(1):52-5.
Mazza OM, Fernandez DL, Pekolj J, Pfaffen G, Sanchez Clariá R, de Santibañes E. Management of nonparasitic hepatic cysts. J Am Coll Surg. 2009;209(6):733-9.
Pitale A, Bohra AK, Diamond T. Management of symptomatic liver cysts. Ulster Med J. 2002;71(2):106-10.
Martin IJ, McKinley AJ, Currie EJ, Holmes P, Garden OJ. Tailoring the management of nonparasitic liver cysts. Ann Surg. 1998;228(2):167-72.