This cavity in the liver, fluid-filled.
hepatic cyst occurs in approximately 0.8% of the population. In women, it occurs 3-5 times more frequently than men, mainly manifested in the period between 30 and 50 years.
Kinds
liver cysts are divided into true and false.
In accordance with modern concepts, true cysts in the liver arise if during embryonic development occurs connection to system biliary tract individual bile ducts; absence of reverse development of these passages is a cause of liver cysts.
False cysts develop after a traumatic rupture of the liver. They may also be formed after treating liver abscess, Echinococcus removal.
Manifestations liver cysts
Content liver cysts is a transparent or light brown clear liquid with blood or bile. They are more common in the left lobe of the liver.
Manifestations liver cysts have a specific character. The most common symptoms are vague pain in the right upper quadrant and epigastric region, the asymmetry of the abdomen, the definition of tumor formation in the right upper quadrant.
Diagnostics
The decisive factor in the diagnosis and belongs to the US CT abdomen.
Computed tomography allows to establish the presence of liver cysts in 100% of cases.
Surgical treatment of liver Kitts
All surgeries with liver cysts are divided into radical, relatively radical, palliative.
Radical surgery of the liver transplantation is considered.
Conditionally radical surgery:
- husking cyst with its shells;
- removal of the affected part of the liver;
- excision of the cyst wall.
Palliative surgery for liver cysts:
- opening and emptying of the cyst;
- marsupializatsiya cysts (cyst is opened, the contents removed, and the exposed edges of the cyst wall is then sutured to a surgical wound edges to form a pocket artificial)
- tsistoentero-, tsistogastroanastomoz (i.e., creating a cyst cavity messages with the cavity of the stomach or intestines).
Indications for surgery:
absolute:
- suppuration,
- gap
- bleeding.
Conditionally absolute:
- giant cyst any location (more than 10 cm in diameter);
- cyst with a central location in the gate of the liver (with compression choleretic tract and / or phenomena portal hypertension);
- cyst with severe manifestations (persistent pain in the upper quadrant, digestive disorders, wasting and others.).
relative:
- cysts larger (3 to 10 cm in diameter);
- cyst isolated segments III-IV;
- recurrent hepatic cyst in the case of failure of puncture treatment.
Patients with liver cysts diameter 3 cm subject dispensary observation.
