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A Study On Single Incision Laparoscopic Fenestration for Symptomatic Liver Cysts

Tomotaka Ishii, Manabu Watanabe, Koji Asai, Hiroshi Matsukiyo, Tomoaki Saito, Manabu Kujiraoka, Toshiyuki Enomoto, Natsuya Katada, Yoshihisa Saida, Shinya Kusachi. Toho university ohashi medical center,surgery department

Laparoscopic fenestration that is considered to be appropriate for benign simple liver cysts due to its minimal invasiveness has been performed. Furthermore single incision laparoscopic surgery has recently been highlighted due to its high cosmetic benefit. This paper deals with our experience with six cases of symptomatic simple liver cysts in which we performed single incision laparoscopic fenestration.Subjects and methods : All six patients enrolled in this study had some symptoms such as abdominal distension, and their liver cysts were 98 – 200 mm in maximum diameter. All cysts had projected on the surface of the liver, and could perfectly be operated on via approach from the navel only because they were located on the subhepatic space.Results : The cysts contained 300 – 1,400 ml of serous liquid. No postoperative complications occurred. The procedure was excellent from a cosmetic viewpoint of the surgical wound, and all the patients were highly satisfied with the procedure.Conclusions : Single incision laparoscopic fenestration for simple liver cysts is an excellent operative procedure in terms of maintaining both radicality and minimal invasiveness. This procedure can be the alternative to the conventional fenestration for symptomatic simple liver cysts.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 79629

Program Number: P456

Presentation Session: Poster (Non CME)

Presentation Type: Poster

67

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