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Kornprat, P; Cerwenka, H; Bacher, H; El-Shabrawi, A; Tillich, M; Langner, C; Mischinger, HJ.
Minimally invasive management of dysontogenetic hepatic cysts.
Langenbecks Arch Surg. 2004; 389(4):289-292
Doi: 10.1007/s00423-004-0506-7
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- Führende Autor*innen der Med Uni Graz
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Kornprat Peter
- Co-Autor*innen der Med Uni Graz
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Bacher Heinz
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Cerwenka Herwig
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Langner Cord
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Mischinger Hans-Jörg
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- Abstract:
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Liver cysts occur with a prevalence of 4%-7% in the general population. Laparoscopic surgery is effective for solitary cysts and in selected patients with polycystic liver disease (PLD). We present our experience in the laparoscopic management of dysontogenetic cysts.
Between 1994 and 2002, 36 patients were referred to our centre for the management of dysontogenetic cystic liver disease. Management was laparoscopic in 16 cases. Indications were solitary giant cysts (n=9) and PLD (n=7).
Laparoscopic procedures were completed in 15 patients. Mean operating time was 90 min. There were no deaths. In one case there was an intraoperative complication: bleeding from a superficial hepatic vein necessitated conversion to an open procedure. There were two postoperative complications: one patient with biliary leakage, which was managed conservatively, and one patient with a pneumothorax caused by the cava catheter installed for anaesthesia. Median follow-up was 36 months. There was no symptomatic recurrence.
Laparoscopy can be recommended as the procedure of choice for symptomatic solitary giant cysts and PLD Gigot type I.
- Find related publications in this database (using NLM MeSH Indexing)
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Adult -
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Aged -
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Cysts - radiography Cysts - surgery
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Female -
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Humans -
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Laparoscopy - methods
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Liver Diseases - radiography Liver Diseases - surgery
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Male -
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Middle Aged -
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Minimally Invasive Surgical Procedures -
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Postoperative Complications -
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Tomography, X-Ray Computed -
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Treatment Outcome -
- Find related publications in this database (Keywords)
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liver disease
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laparoscopy
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simple cysts
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polycystic liver disease