Abstract
We reported a case to perform simultaneous laparoscopic cholecystectomy and fenestration of a liver cyst using a newly deviced microwave scalpel (blade type electrode).
A 40-year-old female was admitted our hospital with a chief complaint of upper abdominal discomfort. Abdominal US and CTscan revealed the liver cyst in the left lateral segment of the liver. The cyst was monolocular, 6.1×5.3cm in size, and protruded from liver surface to lateral aspect. At the same time a gall stone was recognized. No communication was detected between the intrahepatic bile duct and the liver cyst by (ERC). On February 18th, 1992, laparoscopic cholecystectomy and fenestration of the liver cyst were performed simultaneously. Using the microwave scalpel, any bleeding was observed during the course of the operation.
Laparoscopic fenestration of the liver cyst was a technically easy and useful surgical procedure. The dissection (procedure) was possible with adequate hemostasis using the newly deviced microwave scalpel, and it was possible to perform the operation safely.
