Title

Transverse hepatectomy for symptomatic polycystic liver disease

Document Type

Journal Article

Publication Date

1-1-1999

Journal

Liver

Volume

19

Issue

6

DOI

10.1111/j.1478-3231.1999.tb00086.x

Keywords

Hepatectomy; Liver resection; Polycystic liver disease

Abstract

Polycystic liver disease can result in massive enlargement of the liver with resultant debilitating symptoms of abdominal pain, chronic fatigue, and severely compromised functional status. Fenestration of hepatic cysts has been advocated as a treatment for polycystic disease. However, in patients with predominant small cyst replacement, fenestration alone often results in limited hepatic volume reduction without improvement in patient functional status. Liver transplantation has also been previously advocated for polycystic liver disease with predominant small cyst replacement, but, with the severe shortage of donor organs, alternative treatment should be considered. In this report we present a case of massive enlargement of the liver with severe clinical debilitation due to polycystic liver disease. Transverse hepatectomy provided a safe and effective alternative to fenestration or liver transplantation.

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