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• W2212893208 abstract "o . de Octubre ISSSTE, Mexico, D.F. Abstract Objective: The authors present their experience with three different techniques, laparoscopic, open fenestration and liver resection, for the management of benign cystic liver lesions. The aim of this study was to analyze short and long-term outcome with these procedures. Background data: Laparoscopic fenestration has become the man- agement of choice for the most of non-parasitic liver disease (NPLD) and some cases of polycystic liver disease (PLD). However, the indications for open fenestration and liver resection in a laparoscop- ic era remain undefined. Methods: A retrospective review of the surgical management of patients with hepatic cysts between May 1992 to June 2001 was undertaken to determine short and long- term outcome. Comparative study among three different techniques was performed. Results: Thirty-two patients were operated for NPLD or PLD. Ten patients were treated by laparoscopic fenestration, 15 by open fenestration and 7 by formal liver resection. Twenty-three patients had NPLD and nine patients had PLD. Symptomatic recur- rence rate after laparoscopic, open fenestration and resection in NPLD was 20%, 10% and 0% respectively and for PLD 50%, 20% and 0% respectively. Operative morbidity in laparoscopic, open fen- estration and liver resection was 10, 13 and 14%, respectively and no operative mortality was recorded. Median hospital stay was 2, 6 and 6 days for laparoscopic, open fenestration and resection. Con- clusions: Laparoscopic fenestration is the treatment of choice for symptomatic NPLD and selected patients with PLD who present predominantly large anteriorly located cysts. Open fenestration is indicated for deep-sited lesions that are not visualized through the laparoscope, patients with previous upper abdominal surgical pro- cedures with dense adhesions or symptomatic recurrence. Liver resection in NPLD is reserved for symptomatic recurrences. suspi- cion of malignancy or lesions in continuity with a malignant tumor. In PLD open fenestration in combination or not with resection is the management of choice for patients with large multiple posterior or intrahepatic lesions." @default.
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• W2212893208 date "2002-01-01" @default.
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• W2212893208 title "Manejo de la enfermedad quística y poliquística de hígado. ¿Quién es el candidato ideal para el abordaje laparoscópico?" @default.
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