Laparoscopic fenestration versus percutaneous aspiration and alcohol instillaion in the management of symptomatic simple non parasitic liver cysts

ABSTRACT

This study included 20 patients with definitely symptomatic nonparasitic liver cysts who were divided randomly into two groups, each included 10 matched cases. A follow up was done for a period of 12-24 months for the recurrence of symptoms or cysts on the follow up CT or ultrasonography. In the laparoscopy group, a wide fenestration was possible in all cases without mortality or long-term morbidity, the mean hospital stay was four days and the patients were asymptomatic with no evidence of recurrence on the serial follow up CT during the period of follow up. In the radiological group, the procedure could be accomplished in all cases with no mortality or side effects, the mean hospital stay was two days, but failure occurred in two cases with large cysts and recurrence occurred in one case after six months in follow up CT