Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Management and long-term follow-up of hepatic cysts
Autore:
Hansman, MF; Ryan, JA; Holmes, JH; Hogan, S; Lee, FT; Kramer, D; Biehl, T;
Indirizzi:
Virginia Mason Med Ctr, Virginia Mason Clin, Seattle, WA 98101 USA Virginia Mason Med Ctr Seattle WA USA 98101 n Clin, Seattle, WA 98101 USA
Titolo Testata:
AMERICAN JOURNAL OF SURGERY
fascicolo: 5, volume: 181, anno: 2001,
pagine: 404 - 410
SICI:
0002-9610(200105)181:5<404:MALFOH>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
SYMPTOMATIC NONPARASITIC CYSTS; LAPAROSCOPIC MANAGEMENT; BILIARY CYSTADENOMA; HYDATID CYSTS; FOREGUT CYST; LIVER; CYSTADENOCARCINOMA; SURGERY;
Keywords:
hepatic cyst; surgery; cystadenoma; cystadenocarcinoma;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Hansman, MF Virginia Mason Med Ctr, Virginia Mason Clin, Buck Pavil,6th Floor,1100 Ninth Ave, Seattle, WA 98101 USA Virginia Mason Med Ctr Buck Pavil,6th Floor,1100 Ninth Ave Seattle WA USA 98101
Citazione:
M.F. Hansman et al., "Management and long-term follow-up of hepatic cysts", AM J SURG, 181(5), 2001, pp. 404-410

Abstract

Purpose: To provide an algorithm for the management of hepatic cysts through an analysis of our series over 16 years. Method: We reviewed the surgical management and outcome of patients with hepatic cysts between 1984 and 2000 at a single institution. Data were collected by chart review, telephone interview, and follow-up hepatic ultrasonography;Results: Forty-four patients (36 females, 8 males) underwent a total of 46operations for hepatic cysts (mean size 12.0 +/- 5.2 cm) with a mean follow-up of 5.1 +/- 4.0 years. We treated's simple cysts, 4 polycystic liver disease (PCLD), 7 cystadenomas, 2 hydatid cysts, 1 cystadenocarcinoma, 1 endometrioma, and 1 hepatic foregut cyst. Operations included simple drainage, wide unroofing (open and laparoscopic), and hepatic resection. Four patients experienced a symptomatic recurrence after definitive treatment; 3 of these patients had PCLD. Four of the 7 patients with cystadenomas had undergone previous operations that required subsequent definitive resection withouta recurrence. Conclusions: The preoperative distinction between simple cysts and cystadenomas/cystadenocarcinomas can be difficult, yet the manage ment is different. Unroofing is a safe and effective operation for patients with simple cysts. Patients with PCLD frequently have recurrences. Cystadenomas should be completely resected owing to the Likelihood of recurrence after partial excision and the risk of eventual cystadenocarcinoma. We present a treatment algorithm for the preoperative evaluation and management of hepatic cysts based on the largest number of patients with the longest follow-up reported to date. (C) 2001 Excerpta Medica, Inc. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 15/08/20 alle ore 19:48:19