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A Large Hepatic Cyst with Obstructive Jaundice Successfully Treated with Single-Incision Laparoscopic Deroofing


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タイトル: A Large Hepatic Cyst with Obstructive Jaundice Successfully Treated with Single-Incision Laparoscopic Deroofing
著者: Imamura, Hajime / Kawashita, Yujo / Koga, Naoki / Sanada, Yuichi / Azuma, Takashi / Matsuo, Shigetoshi / Eguchi, Susumu
発行日: 2013年11月
出版者: S. Karger AG
引用: Case Reports in Gastroenterology, 7(3), pp.503-510; 2013
抄録: We herein present a case of hepatic cysts causing obstructive jaundice that was treated with single-incision laparoscopic deroofing. A 72-year-old female patient was referred to hospital due to a large hepatic cyst that compressed the intrahepatic bile ducts. The patient was scheduled to undergo single-incision laparoscopic deroofing. The EZ ACCESS™ oval type (Hakko Co. Ltd.) was placed at the umbilicus using a 25-mm incision with two 5-mm trocars. An additional 12-mm port was placed at the left epigastric region. We unroofed and excised the cyst wall using a vessel sealing system in liver segment 4. After surgery, the patient was found to be asymptomatic. The unroofed cysts were completely diminished. Notably, the remnant liver had fairly regenerated. The estimated regeneration volume of the normal liver was 153 cm3. To prevent surgical complications, clinicians should perform adequate management and use of devices. To prevent postoperative recurrence of cysts, performing complete deroofing is essential. Single-incision laparoscopic deroofing contributes to improving the quality of life of patients and should be considered a standard treatment.
キーワード: Hepatic cyst / Jaundice / Single-incision laparoscopic surgery
URI: http://hdl.handle.net/10069/34206
DOI: 10.1159/000357304
権利: © 2013 S. Karger AG, Basel / This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license(CC BY-NC)(www.karger.com/OA-licence), applicable to the online version of the article only. Distribution permitted for non-commercial purposes only.
資料タイプ: Journal Article
原稿種類: publisher
出現コレクション:030 学術雑誌論文

引用URI : http://hdl.handle.net/10069/34206

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