Abstract
A 67-year-old woman visited our hospital complaining of right upper abdominal pain. Imaging examinations revealed a huge liver cyst measuring 19.9 cm in maximum diameter, occupying the right lobe of the liver. Based on a provisional diagnosis of a simple liver cyst, laparoscopic fenestration by reduced-port surgery was performed. Two ports, one for the right hands and another for the scope, into the peritoneal cavity the umbilicus using an Alexis Wound Retractor (XS) and a surgical glove (the glove technique). A third port, for the left hand, which was planned for postoperative drainage, was inserted from the right hypochondralgia. The patient was discharged 12 days after the surgery without complications. Fifteen months have passed since the operation, and no recurrence of the cyst has been detected. Our procedure involving the glove technique plus one port for postoperative drainage seems to be feasible and rational in comparison to single-incision laparoscopic surgery.
