Usah Khrucharoen, Yen-Yi Juo, Andrew Scott, Erik Dutson. UCLA
In this video, we present a patient with progressive polycystic liver disease undergoing laparoscopic hepatic cyst fenestration. The patient had previously undergone 4 prior laparoscopic hepatic cyst fenestration, yet her abdominal pain and distension recurred due to disease progression. The aim of this operation is to reduce the total cystic fluid volume by unroofing all reachable large cysts and draining their cystic fluid. Due to the distorted intrahepatic biliary anatomy, biliary fistula is one of the most common concerns following the procedure. In this video, biliary leak from unroofed hepatic cyst could be observed intraoperatively, requiring primary repair of the opened cyst wall by intracorporeal suturing with monofilament non-absorbable sutures. Postoperative course was uneventful. The patient endorsed improvement in distension symptoms and was able to tolerate oral intake and was discharged on postoperative day 3.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 91893
Program Number: V205
Presentation Session: Video Loop Day 1
Presentation Type: VideoLoop