{"title":"Laparoscopic Hepatic Cyst Fenestration Using Linear Staplers for a Ruptured Recurrent Hepatic Cyst: A Case Report","authors":"Takuma Karasuyama, Gozo Kiguchi, Hideyuki Masui, Osamu Takeyama","doi":"10.1111/ases.70100","DOIUrl":null,"url":null,"abstract":"<div>\n \n <p>Laparoscopic fenestration of hepatic cysts is recommended for the treatment of symptomatic simple hepatic cysts. However, postoperative recurrence is frequently reported; there is no standardized treatment strategy for recurrent hepatic cysts. We herein present the case of a 78-year-old woman who underwent emergency laparoscopic hepatic cyst fenestration for a ruptured recurrent hepatic cyst 9 months after the initial surgery. To shorten the operation time, reduce perioperative complications, and prevent postoperative recurrence, we performed a large fenestration using linear staplers. No significant perioperative complications were observed, and the patient remained recurrence-free after the second surgery. Spontaneous rupture of a simple hepatic cyst is rare. To our knowledge, this is the first reported case of laparoscopic hepatic cyst fenestration for a ruptured recurrent hepatic cyst. Laparoscopic hepatic cyst fenestration using staplers may be effective in preventing the recurrence of hepatic cysts and managing emergency cases.</p>\n </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9000,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asian Journal of Endoscopic Surgery","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/ases.70100","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Laparoscopic fenestration of hepatic cysts is recommended for the treatment of symptomatic simple hepatic cysts. However, postoperative recurrence is frequently reported; there is no standardized treatment strategy for recurrent hepatic cysts. We herein present the case of a 78-year-old woman who underwent emergency laparoscopic hepatic cyst fenestration for a ruptured recurrent hepatic cyst 9 months after the initial surgery. To shorten the operation time, reduce perioperative complications, and prevent postoperative recurrence, we performed a large fenestration using linear staplers. No significant perioperative complications were observed, and the patient remained recurrence-free after the second surgery. Spontaneous rupture of a simple hepatic cyst is rare. To our knowledge, this is the first reported case of laparoscopic hepatic cyst fenestration for a ruptured recurrent hepatic cyst. Laparoscopic hepatic cyst fenestration using staplers may be effective in preventing the recurrence of hepatic cysts and managing emergency cases.