Armando Rosales, MD, Aaron Lee, DO, Conrad H Simpfendorfer, MD. Cleveland Clinic Florida
Introduction: Hepatic Mucinous Cystic Neoplasms (HMCN), are rare cystic tumors usually within the liver parenchyma, and less frequently in the extrahepatic bile ducts. They occur in adults and more often in women. HMCNs are usually multilocular cystic lesions with smooth external surface, which have a 15% potential risk for malignant transformation. Therefore, removal of the cyst is indicated.
Methods: Our patient is a 68-yo M with history of chronic occasional right upper quadrant pain, without other symptoms. Workup with abdominal ultrasound revealed two hepatic cysts and cholelithiasis. This was followed with a magnetic resonance imaging of the abdomen that showed a large centrally located hepatic cyst, which was consistent with a biliary cystadenoma.
Results: The operation was uneventful. Patient was discharged home on postoperative day three. The drain was removed prior to discharge. Final pathology was consistent with biliary cyst with areas of hemorrhage and fibrosis, and without dysplasia or malignancy. He is currently doing well.
Conclusion: Laparoscopic partial liver resection of central hepatic cyst is a feasible and safe approach that could be used for liver cysts, decreasing the chance of malignant transformation and with the benefits of minimally invasive surgery, faster recovery and less pain.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86987
Program Number: V221
Presentation Session: Thursday Video Loop (Non CME)
Presentation Type: VideoLoop