Laparoscopic phenestration in a patient with liver cyst: report of a case and review of literature

63 year old female patient was evaluated in Gazi University Medical School Department of internal Medicine by the complaints consisting abdominal distention, dull abdominal pain and early satiety. During her diagnostic work up in abdominal ultrasound; a cystic lesion in liver at segmwnt 6 was observed and thus the patient was cosulted by our department and was admit­ted to our hospital. Her laboratory findings were normal and abdominal computed tomography revealed the lesion to a simple cyst of the liver. Therefore, percutaneous drainage of the cyst was performed and the cystic fluid was analyzed to be a transuda. During her follow up after a period of convalescence the symptoms alleviated for which a control abdominal ultrasound was performed and revealed the recurrence of the cyst. For this reason were planned a laparo­scopic phenestration in order to definetely drain the cyts. The postoperative period was unevent­fula and the patieint was discharged on the postoperative first day. After the operation the patient showed no signs and findings of recurrence in her 3rd month of follow up. In conclu­sion with incraesing experience in laparoscopic teqniques laparoscopic phenestration of the liver cysts is a safe and effective method. Furthermore it can be the method of choice in selective cases due to reduced morbidity, mortalitiy and hospital stay.

Basit Karaciğer Kistine Laparoskopik Fenestrasyon: Olgu Sunumu ve Literatür Derlemesi

63 year old female patient was evaluated in Gazi University Medical School Department of internal Medicine by the complaints consisting abdominal distention, dull abdominal pain and early satiety. During her diagnostic work up in abdominal ultrasound; a cystic lesion in liver at segmwnt 6 was observed and thus the patient was cosulted by our department and was admit­ted to our hospital. Her laboratory findings were normal and abdominal computed tomography revealed the lesion to a simple cyst of the liver. Therefore, percutaneous drainage of the cyst was performed and the cystic fluid was analyzed to be a transuda. During her follow up after a period of convalescence the symptoms alleviated for which a control abdominal ultrasound was performed and revealed the recurrence of the cyst. For this reason were planned a laparo­scopic phenestration in order to definetely drain the cyts. The postoperative period was unevent­fula and the patieint was discharged on the postoperative first day. After the operation the patient showed no signs and findings of recurrence in her 3rd month of follow up. In conclu­sion with incraesing experience in laparoscopic teqniques laparoscopic phenestration of the liver cysts is a safe and effective method. Furthermore it can be the method of choice in selective cases due to reduced morbidity, mortalitiy and hospital stay.