The journal of the Japanese Practical Surgeon Society
Online ISSN : 2189-2075
Print ISSN : 0386-9776
ISSN-L : 0386-9776
SURGICAL TREATMENT OF NONPARASITIC HEPATIC CYST
Atsuyoshi ONITSUKAYutaka OZEKIHidetoshi MATSUNAMIShoshi SENGAKoji MIYAMOTOMasahiro GOTOAkitsugu HINOMasatomo HAYASHIHajime HIROSE
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1989 Volume 50 Issue 8 Pages 1508-1513

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Abstract
Twelve patients with nonparasitic hepatic cyst (NPHC) who were treated surgically have been studied. Thehepatic cysts were classified according to their morphologic features into three groups in clinical prctice; 1. solitary, 2. scattered, and 3. polycystic types. It was recommended in this study that surgical management of symptomatic NPHC was guided by the type of the cyst and its content. Fenestraton operation is recommended for polycystic liver, and deroofing operation, for solitary and the main cyst of scattered type as the first choice, when theses cysts contain colorless or yellow clear fluid. Small cysts of scattered type are treated with ethanol injection under ultrasonically guided puncture. If the content of the cyst is brownish, turbid or mucinous, complete extirpation of a cyst or hepatectomy should be considered case-by-case.
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© Japan Surgical Association
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