Percutaneous Treatment of Simple Hepatic Cysts: The Long-Term Results of PAIR and Catheterization Techniques as Single-Session Procedures.

Abstract

The purpose of our study is to evaluate results of percutaneous aspiration with alcohol sclerotherapy in symptomatic patients with simple hepatic cysts by employing single-session techniques either by a needle or a catheter. We retrospectively included 39 simple hepatic cysts in 35 patients treated via percutaneous aspiration and single-session alcohol sclerotherapy between years 1993 and 2012. Indications were pain (n=28) or ruling out cystic echinococcus (CE) disease (n=7). 29 cysts in 26 patients were treated by needle technique (Group A) and ten cysts in nine patients were treated by single-session catheter technique (Group B). Patients were followed for 4-173months (median: 38months). All patients were successfully treated. Before procedure, cyst volumes were 21-676cc (median: 94cc). Post-procedure cyst volumes at last follow-up were 0-40cc (median: 1cc). The mean decrease in cyst volume was 95.92±2.86% in all patients (95.96±3.26% in Group A and 95.80±6.20% in Group B). There was no statistically significant difference between the volume reduction rates of Group A and Group B. Only one patient, in Group B, developed a major complication, an abscess. Hospitalization period was 1day for all patients. For patients with symptomatic simple hepatic cysts smaller than 500cc in volume by using puncture, aspiration, injection, and reaspiration (PAIR) technique with only needle, single-session alcohol sclerotherapy of 10min is a safe and effective procedure with high success rate.