［症例報告］巨大肝嚢胞に対して腹腔鏡下肝嚢胞天蓋切除術を施行した1例

概要

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Laparoscopic approach for benign nonparasitic simple cysts is considered to be a useful method because of its less invasiveness. A 38-year-old woman was admitted to our hospital because of a huge cystic mass with abdominal distension in the right lobe of the liver. Both CT and MRI findings were suggestive of simple liver cyst, for which a laparoscopic deroofing operation was performed. Residual wall of cyst adhered to the hepatic parenchyma was burned by the argon beam coagulator. Intracystic fluid was found serous and clear in appearance, and about 4500ml in quantity. Pathological findings of the resected wall revealed benign and simple cyst. The postoperative course was uneventful, she was discharged from hospital on the 7th post operative day. The treatment options of the simple liver cyst are conventional operation, drug injection and CO2 gas injection. We considered laparoscopic deloofing in the treatment of the simple liver cyst and review of theliterature was presented.
琉球医学会,Ryukyu Medical Associationの論文