Laproscopic Deroofing with Segmental Liver Resection for Hepatic Cyst. A Case Report

Abstract

Background: Non-parasitic hepatic cysts are commonly benign lesions that are usually asymptomatic and discovered incidentally. However, large cysts or those causing symptoms may require surgical intervention. While laparoscopic deroofing is the standard minimally invasive approach, combining it with segmental liver resection offers a more definitive treatment in selected cases to reduce recurrence risk. Case Presentation: A 21 years-old female who presented with right upper quadrant discomfort and abdominal distension. Imaging revealed a large simple hepatic cyst occupying segments of the liver, without evidence of infection or malignancy. The patient underwent laparoscopic deroofing with segmental liver resection, performed under general anesthesia. The postoperative course was uneventful, and the patient was discharged on postoperative day 3 with complete symptom resolution. Histopathological analysis confirmed hyadit cyst Discussion: Laparoscopic management of hepatic cysts has become the preferred method due to reduced postoperative pain, shorter hospital stay and faster recovery. However, in cases where cysts occupy a significant portion of hepatic parenchyma or have a high recurrence potential, segmental resection along with deroofing provides a curative outcome. This approach ensures removal of the cyst wall adjoining hepatic tissue and prevents recurrence, while maintaining the benefits of minimally invasive surgery. Conclusion: Laparoscopic deroofing combined with segmental liver resection is a safe and effective treatment for large or recurrent hepatic cysts. It offers excellent postoperative outcomes, minimal complications, and a significantly reduced recurrence rate compared to deroofing alone.
Keywords: Hepatic cyst, Laparoscopic deroofing, Minimally invasive surgery, Segmental liver resection.