Solitary Liver Cyst Causing Obstructive Jaundice -Report of a Case Treated with Laparoscopic Dome Resection-

Fumihiro Uchikoshi¹⁾³⁾, Noriyuki Ito¹⁾, Kaori Matsumoto²⁾, Yasuaki Fukumoto²⁾, Wataru Kamiike³⁾

¹⁾ Department of Surgery, Gracia Hospital
²⁾Department of Internal Medicine Gracia Hospital
³⁾The First Department of Surgery, Osaka University Medical School

Obstructive jaundice due to a benign, nonparasitic liver cyst is rare. We report a case of obstructive jaundice due to a large liver cyst, which was successfully treated by laparoscopic dome resection. A 75-year-old man complaining of general fatigue was admitted for investigation. He was found to have jaundice, and further examination revealed that a large liver cyst which was compressing the bi-lateral hepatic ducts at the hilum was the cause. To relieve the jaundice and improve the hepatic functions, percutaneous, trans-hepatic drainage of the cyst was carried out before laparoscopic dome resection. On day 7, he was discharged with no symptoms or complications and continues in good condition. As laparoscopic dome resection is a less invasive procedure than ethanol injection therapy, it reduces the postoperative hospital stay, and allows an earlier return to normal activity. We propose, therefore, that this procedure should be the first choice for treatment of a symptomatic liver cyst.

Key words
liver cyst, obstructive jaundice, laparoscopic dome resection

Reprint requests
Noriyuki Ito Department of Surgery, Gracia Hospital
6-14-1 Aomadani-nishi, Mino City, 562 JAPAN

Accepted
November 13, 1996

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