Evaluation Management of symptomatic liver cyst in Cipto Mangunkusumo Hospital serial cases

Introduction: Non-parasitic liver cyst are seen in up to 5% of the population. They become symptomatic when the are large and can cause pain, nausea, vomiting, early satiety and obstructive jaundive. Treatmen modalities include percutaeneous drainage, open deroofing, hepatic resection, amd lately, laparoscopic deroofing liver cyst. We sought to evaluate the feasibility and outcomes of management of symptomatic liver cysts and surgical success, focusing on cyst recurrence.

Method: From January 2016 to March 2019, 18 consecutive patients with symptomatic liver cysts were evaluated and treated at Cipto Mangunkusumo Hospital retrospectively discuss.
Result: The median patient age was 54 (28-69 ) years, with a median lesion diameter of 6,5 cm. The cyst were simple cysts (n = 13), multiple cysts (n = 5). Fifteen patients had American Society of Anesthesiologists (ASA) classification II, and one had ASA classification I, III and IV. Surgical treatment of liver cysts were laparoscopic deroofing (n = 16) and laparotomy deroofing (n=2). The median follow-up was 22 weeks, and 2 patients (%) experienced radiographic-apparent recurrence. Reoperation due to recurrence was performed in one patients.

Conclusion: Management of liver cysts with deroofing cyst is a simple and effective method to relieve symptoms with minimal recurrencce