Τίτλος:
Laparoscopic fenestration for the treatment of patients with severe
adult polycystic liver disease
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background: The purpose of this study was to present our experience in
laparoscopic fenestration for patients with severe symptomatic adult
polycystic liver disease (APLD), analyze its feasibility, and evaluate
its immediate and mid-term outcome.
Methods: Between January 2000 and January 2002, 9 patients underwent
laparoscopic fenestration for symptomatic APLD in our laparoendoscopic
unit. All patients had both liver lobes affected with Multiple cysts,
whereas type If disease (present in 8 patients) was not a
contraindication for the procedure. The results were retrospectively
evaluated.
Results: Conversion to laparotomy was required in 1 patient who was
submitted to a second laparoscopic procedure (2 years postoperatively)
after being admitted to our department with sepsis. Complete regression
of symptoms was achieved in 7 of our patients (77.8 %). One death
occurred because of acute renal failure established 5 weeks after the
patient was discharged. During a mean follow-up of 25.8 months, 2
patients presented with recurrence of their symptoms (22.2 %). One of
them was reoperated on; both of them remain symptom free 14 months
postoperatively.
Conclusions: Laparoscopic fenestration appears to be a useful and
effective approach for severe APLD. It is associated with short hospital
stay and a significant symptom-free period. Despite the reported
morbidity, aggressive and meticulous deroofing of as many cysts as
possible can be successfully applied for carefully Selected patients
with type II disease. (C) 2005 Excerpta Medica Inc. All rights reserved.
Συγγραφείς:
Konstadoulakis, MM
Gomatos, IP
Albanopoulos, K
Alexakis, N
and Leandros, E
Περιοδικό:
AMERICAN JOURNAL OF SURGERY
Εκδότης:
EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
Λέξεις-κλειδιά:
APLD; laparoscopic fenestration; midterm outcome
DOI:
10.1016/j.amjsurg.2004.03.011
