지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.85 No.3
- 발행연도
- 2013.9
- 수록면
- 116 - 122 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: We sought to evaluate the feasibility and outcomes of laparoscopic resection of giant hepatic cysts and surgical success, focusing on cyst recurrence.
Methods: From February 2004 to August 2011, 37 consecutive patients with symptomatic hepatic cysts were evaluated and treated at Dong-A University Hospital. Indications were simple cysts (n = 20), multiple cysts (n = 6), polycystic disease (n = 2), and cystadenoma (n = 9).
Results: The median patient age was 64 years, with a mean lesion diameter of 11.4 cm. The coincidence between preoperative imaging and final pathologic diagnosis was 54% and half (n = 19) of the cysts were located in segments VII and VIII. Twenty-two patients had American Society of Anesthesiologists (ASA) classification I and II, and nine had ASA classification III. Surgical treatment of hepatic cysts were open liver resection (n = 3), laparoscopic deroofing (n = 24), laparoscopic cyst excision (n = 4), laparoscopic left lateral sectionectomy (n = 2), hand assisted laparoscopic procedure (n = 2), and single port laparoscopic deroofing (n = 2). The mean fellow-up was 21 months, and six patients (16%) experienced radiographicapparent recurrence. Reoperation due to recurrence was performed in two patients. Among the factors predicting recurrence, multivariate analysis revealed that interventional radiological procedures and pathologic diagnosis were statistically significant.
Conclusion: Laparoscopic resection of giant hepatic cysts is a simple and effective method to relieve symptoms with minimal surgical trauma. Moreover, the recurrence is dependent on the type of pathology involved, and the sclerotherapy undertaken.
Methods: From February 2004 to August 2011, 37 consecutive patients with symptomatic hepatic cysts were evaluated and treated at Dong-A University Hospital. Indications were simple cysts (n = 20), multiple cysts (n = 6), polycystic disease (n = 2), and cystadenoma (n = 9).
Results: The median patient age was 64 years, with a mean lesion diameter of 11.4 cm. The coincidence between preoperative imaging and final pathologic diagnosis was 54% and half (n = 19) of the cysts were located in segments VII and VIII. Twenty-two patients had American Society of Anesthesiologists (ASA) classification I and II, and nine had ASA classification III. Surgical treatment of hepatic cysts were open liver resection (n = 3), laparoscopic deroofing (n = 24), laparoscopic cyst excision (n = 4), laparoscopic left lateral sectionectomy (n = 2), hand assisted laparoscopic procedure (n = 2), and single port laparoscopic deroofing (n = 2). The mean fellow-up was 21 months, and six patients (16%) experienced radiographicapparent recurrence. Reoperation due to recurrence was performed in two patients. Among the factors predicting recurrence, multivariate analysis revealed that interventional radiological procedures and pathologic diagnosis were statistically significant.
Conclusion: Laparoscopic resection of giant hepatic cysts is a simple and effective method to relieve symptoms with minimal surgical trauma. Moreover, the recurrence is dependent on the type of pathology involved, and the sclerotherapy undertaken.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (30)
참고문헌 신청
1. [학술지(정기간행물)] - Katkhouda N / 1999 / Laparoscopic management of benign solid and cystic lesions of the liver / Ann Surg 229 : 460 ~ 466
2. [학술지(정기간행물)] - Katkhouda N / 2000 / Laparoscopic management of benign cystic lesions of the liver / J Hepatobiliary Pancreat Surg 7 : 212 ~ 217
3. [학술지(정기간행물)] - Kornprat P / 2004 / Minimally invasive management of dysontogenetic hepatic cysts / Langenbecks Arch Surg 389 : 289 ~ 292
4. [학술지(정기간행물)] - Morino M / 1994 / Laparoscopic management of symptomatic nonparasitic cysts of the liver: indications and results / Ann Surg 219 : 157 ~ 164
6. [학술지(정기간행물)] - Palanivelu C / 2007 / Laparoscopic management of symptomatic multiple hepatic cysts: a combination of deroofing and radical excision / JSLS 11 : 466 ~ 469
2. [학술지(정기간행물)] - Katkhouda N / 2000 / Laparoscopic management of benign cystic lesions of the liver / J Hepatobiliary Pancreat Surg 7 : 212 ~ 217
3. [학술지(정기간행물)] - Kornprat P / 2004 / Minimally invasive management of dysontogenetic hepatic cysts / Langenbecks Arch Surg 389 : 289 ~ 292
4. [학술지(정기간행물)] - Morino M / 1994 / Laparoscopic management of symptomatic nonparasitic cysts of the liver: indications and results / Ann Surg 219 : 157 ~ 164
6. [학술지(정기간행물)] - Palanivelu C / 2007 / Laparoscopic management of symptomatic multiple hepatic cysts: a combination of deroofing and radical excision / JSLS 11 : 466 ~ 469
이 논문의 저자 정보
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2014-510-002804873