The Case for Conservative Surgical Management
- 31 December 1986
- journal article
- research article
- Published by Wolters Kluwer Health in Annals of Surgery
- Vol. 205 (1), 45-48
- https://doi.org/10.1097/00000658-198701000-00008
Abstract
The recommended treatment for nonparasitic hepatic cysts (NPHC) has been either resecton or drainge into a Roux loop of jejunum. From 1970-1984 a more conservative approach to NPHC was adopted in 22 patients with large symptomatic cysts. Seventeen patients were treated with simple unroofing without complicaton. By comparison, two of three patients treated by Roux-en-Y drainage developed infected hepatic cysts that required subsequent surgical drainage. Patients treated by external drainage without unroofing or hepatic resection had either cyst recurrence or complications. In conclusion, wide unroofing is the treatment of choice for NPHC even when the cyst fluid is bile stained.This publication has 17 references indexed in Scilit:
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