caa a22 4500 475778669 CHVBK 20180406123638.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/s004649900012 doi (NATIONALLICENCE)springer-10.1007/s004649900012 Long-term results after laparoscopic unroofing of solitary symptomatic congenital liver cysts [Elektronische Daten] [J. Zacherl, C. Scheuba, M. Imhof, R. Jakesz, R. Függer] Background: Reports about laparoscopic management of symptomatic nonparasitic liver cysts are increasing, proving the procedure feasible and safe. However, late results of endoscopic unroofing currently are not available. The primary aim of the study was to offer long-term results with a follow-up of more than 5 years. Two diagnostic pitfalls are presented. Methods: Preoperatively, diagnosis was established by sonography, computed tomography (CT) scan, echinococcus serology, and tumor-marker measurement. The outcome of 12 laparoscopic fenestrations in 11 patients with symptomatic solitary liver cysts is presented. Nine patients were reexamined after a median observation time of 3.1 years (range, 0.6-6.4 years) by clinical investigation and ultrasonography, CT scan, or magnetic resonance imaging (MRI), respectively. Results: All operations could be finished laparoscopically, and no death occurred. Simultaneous cholecystectomy was performed in six cases. All patients experienced immediate relief of symptoms. Postoperatively, no complications were observed except one patient with unilateral brachial vein thrombosis. Histologically, we discovered one hydatide cyst and one cystadenoma underlying the cystic disorder leading to further therapy. At follow-up, one of the remaining seven patients (14.3%) suffered symptomatic recurrence and successfully underwent reoperation endoscopically. Conclusions: The results of this study confirm the outcome reported previously after short- and intermediate-term follow-up showing that laparoscopic management of symptomatic solitary nonparasitic liver cysts is permanently successful in a large majority of cases when diagnosis is correct. Springer-Verlag, 2000 Fenestration nationallicence Follow-up nationallicence Laparoscopy nationallicence Liver cysts nationallicence Outcome nationallicence Zacherl J. University Clinic of Surgery, Waehringerguertel 18-20, A-1090, Vienna, Austria aut Scheuba C. University Clinic of Surgery, Waehringerguertel 18-20, A-1090, Vienna, Austria aut Imhof M. University Clinic of Surgery, Waehringerguertel 18-20, A-1090, Vienna, Austria aut Jakesz R. University Clinic of Surgery, Waehringerguertel 18-20, A-1090, Vienna, Austria aut Függer R. University Clinic of Surgery, Waehringerguertel 18-20, A-1090, Vienna, Austria aut Surgical Endoscopy Springer-Verlag 14/1(2000-01-01), 59-62 0930-2794 14:1<59 2000 14 464 https://doi.org/10.1007/s004649900012 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004649900012 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Zacherl J. University Clinic of Surgery, Waehringerguertel 18-20, A-1090, Vienna, Austria aut NATIONALLICENCE 700 1- Scheuba C. University Clinic of Surgery, Waehringerguertel 18-20, A-1090, Vienna, Austria aut NATIONALLICENCE 700 1- Imhof M. University Clinic of Surgery, Waehringerguertel 18-20, A-1090, Vienna, Austria aut NATIONALLICENCE 700 1- Jakesz R. University Clinic of Surgery, Waehringerguertel 18-20, A-1090, Vienna, Austria aut NATIONALLICENCE 700 1- Függer R. University Clinic of Surgery, Waehringerguertel 18-20, A-1090, Vienna, Austria aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/1(2000-01-01), 59-62 0930-2794 14:1<59 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer