OGBN P18 Laparoscopic Deroofing of a Liver Cyst

Abstract Background Laparoscopic deroofing is considered to be part of standard practice for simple nonparasitic liver cysts. Methods This “how to” video demonstrates an approach the laparoscopic a large, cyst. After placement umbilical, epigastric and working right upper quadrant port, cyst aspirated. allows easier handling A cystostomy then created LOTUS or Harmonic scalpel used cut thru wall.Further suctioning contents collapse which facilitates tissue. Complete resection can achieved by dissecting close wall placed into endobag prior removal. It important ensure good haemostasis at liver. Omentum may in larger cavities reduce dead space prevent fluid collection. Results patient made postoperative recovery cytology histology confirmed benign Conclusions one simple,