Surgical management of cystic lesions in the liver
Background Liver cysts are common, occurring in up to 5% of the population. For many types of cysts, a variety of different treatment options exist and the preferred management is unclear. Methods A PubMed and Medline literature review was undertaken and articles pertaining to the diagnosis and mana...
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| Veröffentlicht in: | ANZ journal of surgery 2013-07, Vol.83 (7-8), p.516-522 |
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| container_title | ANZ journal of surgery |
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| creator | Garcea, Giuseppe Rajesh, Arumugam Dennison, Ashley R. |
| description | Background
Liver cysts are common, occurring in up to 5% of the population. For many types of cysts, a variety of different treatment options exist and the preferred management is unclear.
Methods
A PubMed and Medline literature review was undertaken and articles pertaining to the diagnosis and management of cystic lesions within the liver were retrieved.
Results
Therapy for symptomatic cysts may incorporate aspiration with sclerotherapy or de‐roofing. Polycystic liver disease presents a unique management problem because of the high morbidity and mortality rates from intervention and high rates of recurrence. Careful patient counselling and assessment of symptom index is essential before embarking on any treatment. New medical treatments may ameliorate symptoms. Acquired cystic lesions in the liver require a thorough work‐up to fully characterize the abnormality and direct appropriate treatment. Hydatid cysts are best treated by chemotherapy, followed by some form of surgical intervention (either aspiration and sclerotherapy or surgery). Liver abscesses can be effectively treated by aspiration or drainage.
Conclusion
All patients with cystic lesions in the liver require discussion at multidisciplinary meetings to confirm the diagnosis and determine the most appropriate method of treatment. |
| doi_str_mv | 10.1111/ans.12049 |
| format | Article |
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Liver cysts are common, occurring in up to 5% of the population. For many types of cysts, a variety of different treatment options exist and the preferred management is unclear.
Methods
A PubMed and Medline literature review was undertaken and articles pertaining to the diagnosis and management of cystic lesions within the liver were retrieved.
Results
Therapy for symptomatic cysts may incorporate aspiration with sclerotherapy or de‐roofing. Polycystic liver disease presents a unique management problem because of the high morbidity and mortality rates from intervention and high rates of recurrence. Careful patient counselling and assessment of symptom index is essential before embarking on any treatment. New medical treatments may ameliorate symptoms. Acquired cystic lesions in the liver require a thorough work‐up to fully characterize the abnormality and direct appropriate treatment. Hydatid cysts are best treated by chemotherapy, followed by some form of surgical intervention (either aspiration and sclerotherapy or surgery). Liver abscesses can be effectively treated by aspiration or drainage.
Conclusion
All patients with cystic lesions in the liver require discussion at multidisciplinary meetings to confirm the diagnosis and determine the most appropriate method of treatment.</description><identifier>ISSN: 1445-1433</identifier><identifier>EISSN: 1445-2197</identifier><identifier>DOI: 10.1111/ans.12049</identifier><identifier>PMID: 23316726</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Caroli's disease ; cystadenoma ; cystic liver tumour ; Cysts ; Cysts - etiology ; Cysts - pathology ; Cysts - surgery ; Drainage ; Echinococcus ; Hepatectomy ; Humans ; hydatid cyst ; Liver ; liver abscess ; Liver Diseases - etiology ; Liver Diseases - pathology ; Liver Diseases - surgery ; Medical diagnosis ; non-parasitic hepatic cyst ; parasitic cyst ; Patient Selection ; polycystic liver disease ; Sclerotherapy ; Surgery</subject><ispartof>ANZ journal of surgery, 2013-07, Vol.83 (7-8), p.516-522</ispartof><rights>2013 Royal Australasian College of Surgeons</rights><rights>2013 Royal Australasian College of Surgeons.</rights><rights>Copyright © 2013 Royal Australasian College of Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4579-3962c2996561342a6354204d75b4ccca12d33e6f405c8e8eddd7e15e9645bcf43</citedby><cites>FETCH-LOGICAL-c4579-3962c2996561342a6354204d75b4ccca12d33e6f405c8e8eddd7e15e9645bcf43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fans.12049$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fans.12049$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23316726$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Garcea, Giuseppe</creatorcontrib><creatorcontrib>Rajesh, Arumugam</creatorcontrib><creatorcontrib>Dennison, Ashley R.</creatorcontrib><title>Surgical management of cystic lesions in the liver</title><title>ANZ journal of surgery</title><addtitle>ANZ J Surg</addtitle><description>Background
Liver cysts are common, occurring in up to 5% of the population. For many types of cysts, a variety of different treatment options exist and the preferred management is unclear.
Methods
A PubMed and Medline literature review was undertaken and articles pertaining to the diagnosis and management of cystic lesions within the liver were retrieved.
Results
Therapy for symptomatic cysts may incorporate aspiration with sclerotherapy or de‐roofing. Polycystic liver disease presents a unique management problem because of the high morbidity and mortality rates from intervention and high rates of recurrence. Careful patient counselling and assessment of symptom index is essential before embarking on any treatment. New medical treatments may ameliorate symptoms. Acquired cystic lesions in the liver require a thorough work‐up to fully characterize the abnormality and direct appropriate treatment. Hydatid cysts are best treated by chemotherapy, followed by some form of surgical intervention (either aspiration and sclerotherapy or surgery). Liver abscesses can be effectively treated by aspiration or drainage.
Conclusion
All patients with cystic lesions in the liver require discussion at multidisciplinary meetings to confirm the diagnosis and determine the most appropriate method of treatment.</description><subject>Caroli's disease</subject><subject>cystadenoma</subject><subject>cystic liver tumour</subject><subject>Cysts</subject><subject>Cysts - etiology</subject><subject>Cysts - pathology</subject><subject>Cysts - surgery</subject><subject>Drainage</subject><subject>Echinococcus</subject><subject>Hepatectomy</subject><subject>Humans</subject><subject>hydatid cyst</subject><subject>Liver</subject><subject>liver abscess</subject><subject>Liver Diseases - etiology</subject><subject>Liver Diseases - pathology</subject><subject>Liver Diseases - surgery</subject><subject>Medical diagnosis</subject><subject>non-parasitic hepatic cyst</subject><subject>parasitic cyst</subject><subject>Patient Selection</subject><subject>polycystic liver disease</subject><subject>Sclerotherapy</subject><subject>Surgery</subject><issn>1445-1433</issn><issn>1445-2197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10LtOwzAUBmALgSgUBl4ARWKBISW-1yNCQEFVGVpgtFznpLjkUuwE6NuT0pYBCS_Hw3d-Hf0IneCkh9t3acrQwyRhagcdYMZ4TLCSu5s_ZpR20GEI8yTBQii-jzqEUiwkEQeIjBs_c9bkUWFKM4MCyjqqssguQ-1slENwVRkiV0b1K0S5-wB_hPYykwc43swuerq9mVwP4uHj3f311TC2jEsVUyWIJUoJLjBlxAjKWXtjKvmUWWsNJimlIDKWcNuHPqRpKgFzUILxqc0Y7aLzde7CV-8NhFoXLljIc1NC1QSNGeZcKU54S8_-0HnV-LK9bqVowhjFslUXa2V9FYKHTC-8K4xfapzoVZG6LVL_FNna001iMy0g_ZXb5lpwuQafLofl_0n6ajTeRsbrDRdq-PrdMP5NC0kl1y-jO_1MHyRPyEQP6DdC5ojL</recordid><startdate>201307</startdate><enddate>201307</enddate><creator>Garcea, Giuseppe</creator><creator>Rajesh, Arumugam</creator><creator>Dennison, Ashley R.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201307</creationdate><title>Surgical management of cystic lesions in the liver</title><author>Garcea, Giuseppe ; Rajesh, Arumugam ; Dennison, Ashley R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4579-3962c2996561342a6354204d75b4ccca12d33e6f405c8e8eddd7e15e9645bcf43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Caroli's disease</topic><topic>cystadenoma</topic><topic>cystic liver tumour</topic><topic>Cysts</topic><topic>Cysts - etiology</topic><topic>Cysts - pathology</topic><topic>Cysts - surgery</topic><topic>Drainage</topic><topic>Echinococcus</topic><topic>Hepatectomy</topic><topic>Humans</topic><topic>hydatid cyst</topic><topic>Liver</topic><topic>liver abscess</topic><topic>Liver Diseases - etiology</topic><topic>Liver Diseases - pathology</topic><topic>Liver Diseases - surgery</topic><topic>Medical diagnosis</topic><topic>non-parasitic hepatic cyst</topic><topic>parasitic cyst</topic><topic>Patient Selection</topic><topic>polycystic liver disease</topic><topic>Sclerotherapy</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Garcea, Giuseppe</creatorcontrib><creatorcontrib>Rajesh, Arumugam</creatorcontrib><creatorcontrib>Dennison, Ashley R.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>ANZ journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Garcea, Giuseppe</au><au>Rajesh, Arumugam</au><au>Dennison, Ashley R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical management of cystic lesions in the liver</atitle><jtitle>ANZ journal of surgery</jtitle><addtitle>ANZ J Surg</addtitle><date>2013-07</date><risdate>2013</risdate><volume>83</volume><issue>7-8</issue><spage>516</spage><epage>522</epage><pages>516-522</pages><issn>1445-1433</issn><eissn>1445-2197</eissn><abstract>Background
Liver cysts are common, occurring in up to 5% of the population. For many types of cysts, a variety of different treatment options exist and the preferred management is unclear.
Methods
A PubMed and Medline literature review was undertaken and articles pertaining to the diagnosis and management of cystic lesions within the liver were retrieved.
Results
Therapy for symptomatic cysts may incorporate aspiration with sclerotherapy or de‐roofing. Polycystic liver disease presents a unique management problem because of the high morbidity and mortality rates from intervention and high rates of recurrence. Careful patient counselling and assessment of symptom index is essential before embarking on any treatment. New medical treatments may ameliorate symptoms. Acquired cystic lesions in the liver require a thorough work‐up to fully characterize the abnormality and direct appropriate treatment. Hydatid cysts are best treated by chemotherapy, followed by some form of surgical intervention (either aspiration and sclerotherapy or surgery). Liver abscesses can be effectively treated by aspiration or drainage.
Conclusion
All patients with cystic lesions in the liver require discussion at multidisciplinary meetings to confirm the diagnosis and determine the most appropriate method of treatment.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>23316726</pmid><doi>10.1111/ans.12049</doi><tpages>7</tpages></addata></record> |
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| ispartof | ANZ journal of surgery, 2013-07, Vol.83 (7-8), p.516-522 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Caroli's disease cystadenoma cystic liver tumour Cysts Cysts - etiology Cysts - pathology Cysts - surgery Drainage Echinococcus Hepatectomy Humans hydatid cyst Liver liver abscess Liver Diseases - etiology Liver Diseases - pathology Liver Diseases - surgery Medical diagnosis non-parasitic hepatic cyst parasitic cyst Patient Selection polycystic liver disease Sclerotherapy Surgery |
| title | Surgical management of cystic lesions in the liver |
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