SURGICAL TREATMENT OF NONPARASITIC HEPATIC CYST

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.