Cystadenoma and laparoscopic surgery for hepatic cystic disease: a need for laparotomy?

Surg Endosc. 2005 Aug;19(8):1077-81. doi: 10.1007/s00464-004-2229-9. Epub 2005 May 26.


Background: This study aimed to evaluate the incidence of cystadenoma diagnosis in a series of laparoscopic treatments for nonparasitic liver cysts, as well as its management.

Methods: From 1996 to 2004, 26 patients with a nonparasitic cyst of the liver were selected for laparoscopic liver surgery. Solitary nonparasitic liver cysts were, whenever feasible, completely enucleated.

Results: In four patients, the histopathologic examination showed a cystadenoma. Three patients with 13, 9, and 12-cm cysts, respectively, had undergone complete enucleation of the lesion, with no evidence of recurrence in the follow-up visit. One patient with multicystic liver experienced a recurrence and required an open hepatic resection.

Conclusions: When a complete laparoscopic enucleation of the cyst can be ensured, a strict follow-up assessment should be considered as the definitive treatment, with surgical intervention demanded only in the case of recurrence or high suspicion for malignancy.

MeSH terms

  • Adult
  • Algorithms
  • Cystadenoma / complications
  • Cystadenoma / diagnosis*
  • Cystadenoma / epidemiology*
  • Cysts / complications
  • Cysts / surgery*
  • Female
  • Humans
  • Incidence
  • Laparoscopy*
  • Laparotomy*
  • Liver Diseases / complications
  • Liver Diseases / diagnosis*
  • Liver Diseases / epidemiology*
  • Liver Diseases / surgery*
  • Male
  • Middle Aged