A laparoscopic approach to a large simple hepatic cyst a case report

Laparoscopic fenestration has recently been considered a standard procedure for non parasitic symptomatic liver cysts.The objective of our observation was to show the laparoscopic approach of a large cyst of the hepatic dome. A 54-year-old woman with no pathological history who consulted for chronic pain in the right hypochondrium. The radiological explorations had objectified a large hepatic cyst and an uncomplicated gall bladder lithiasis. Hydatid serology was negative. The treatment consisted of a wide fenestration by laparoscopy after careful puncture of the cyst in order to eliminate a parasitic pathology and an aspiration of around 1.8 liter of a brownish liquid, a cholecystectomy and the exteriorization of the cyst wall in an endobag. The histological study was in favor of a simple liver cyst. Laparoscopic fenestration is the reference treatment for symptomatic simple liver cysts, especially when the cysts are large or difficult to puncture under ultrasound.