Laparoscopic Resection of a Large Mucinous Cystic Neoplasm of the Liver: A Case Report.
Yuto Aoki, Yukio Oshiro, Ryo Ga et al.
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Case in brief
A woman in her 40s presented with upper abdominal discomfort. Imaging showed a multilocular cystic lesion measuring 11.9 × 8.5 × 13.0 cm in liver segments 4 and 5. She underwent laparoscopic partial resection of those segments; controlled aspiration and a retrieval bag were used to avoid spillage. Pathology identified a mucinous cystic adenoma without malignancy. Her recovery was uneventful, and she was discharged on postoperative day 7.
What made this case unusual
The large lesion was resected laparoscopically while preventing cyst-content spillage, a key technical challenge in this case.
Diagnostic / clinical pearl
For a large hepatic mucinous cystic neoplasm, careful preoperative planning and techniques to contain cyst contents can support laparoscopic resection without contamination.