Abstract
From the viewpoint of complete cure of symptomatic heptic cyst, conventional open fenestration is more preferable than percutaneous aspiration and/or ethanol injection with high recurrence rate. To obtain reliable effect with less invasion, laparoscopic fenestration (LF) was performed on 4 patients with symptomatic hepatic cyst. The mean age of these patients was 65 years, and there were 2 males and 2 females. Two of the 4 patients underwent simultaneous laparoscopic cholecystectomy for coexisted cholecystolithiasis. According to the technique of ordinary laparoscopic cholecystectomy, pneumoperitoneum by using carbon dioxide was carried out. Three or four trocars were inserted and the cyst was incised by using electrocautery hook dissector under laparoscopic view. All the patients received LF were released from preoperative symptoms and no recurrence was observed with postoperative follow-up for 2 to 6 months. It is though that LF which offers a reliable outcome with minimal invasion and simple procedure can be a standard operation for symptomatic hepatic cyst.
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