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CC BY-NC-ND 4.0 · Endosc Int Open 2024; 12(04): E513-E519
DOI: 10.1055/a-2239-9493
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A safe and effective endoscopic treatment method for simple hepatic cysts (with video)

Congying Chen‡
1   Department of Gastroenterology, Shanghai General Hospital, Shanghai, China (Ringgold ID: RIN12482)
,
Xiao Han‡
1   Department of Gastroenterology, Shanghai General Hospital, Shanghai, China (Ringgold ID: RIN12482)
,
Wenqin Xiao
1   Department of Gastroenterology, Shanghai General Hospital, Shanghai, China (Ringgold ID: RIN12482)
,
Gang Xu
1   Department of Gastroenterology, Shanghai General Hospital, Shanghai, China (Ringgold ID: RIN12482)
,
Xiaobo Cai
1   Department of Gastroenterology, Shanghai General Hospital, Shanghai, China (Ringgold ID: RIN12482)
,
Guoyong Hu
1   Department of Gastroenterology, Shanghai General Hospital, Shanghai, China (Ringgold ID: RIN12482)
,
Rong Wan
1   Department of Gastroenterology, Shanghai General Hospital, Shanghai, China (Ringgold ID: RIN12482)
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Abstract

Background and study aims Symptomatic simple hepatic cysts require treatment, with several guidelines recommending laparoscopic deroofing. However, cysts located in the posterosuperior segments are considered poor candidates for this procedure. Gastrointestinal endoscopes are more flexible and able to reach less accessible areas than laparoscopes. This study aimed to evaluate the utility of endoscopic transgastric hepatic cyst deroofing (ETGHCD) for treatment of simple hepatic cysts.

Patients and methods Seven patients with simple hepatic cysts were evaluated between June 2021 and October 2023. The success rate, procedure time, post-procedure length of hospital stays, complications, pathologic diagnosis, and efficacy were recorded.

Results Eleven cysts in seven patients (5 men; mean age 65.5 (standard deviation [SD] 8.5) years) were successfully treated without any complications. The mean procedure time was 65.6 minutes (SD 17.2). Mean post-procedure hospitalization was 4.4 days (SD 1.0). The pathologic diagnosis of 11 cysts showed simple hepatic cysts. The size of the cysts was significantly decreased from 337.0 cm3 (SD 528.8) to 5.2 cm3 (SD 6.3) 1 month after ETGHCD. During the median 12.7-month follow-up in seven patients, the cysts showed a 99.6% reduction with no recurrence.

Conclusions ETGHCD provided a feasible, safe, effective, and minimal invasive alternative approach for the treatment of simple hepatic cysts.



Publication History

Received: 27 October 2023

Accepted after revision: 02 January 2024

Accepted Manuscript online:
08 January 2024

Article published online:
15 April 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

Comment to this article:

Endoscopy International Open – recently publishedEndoscopy 2024; 56(06): 468-468
DOI: 10.1055/a-2266-2839

 

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