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©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Jul 14, 2008; 14(26): 4257-4259
Published online Jul 14, 2008. doi: 10.3748/wjg.14.4257
Published online Jul 14, 2008. doi: 10.3748/wjg.14.4257
Laparoscopic fenestration of multiple giant biliary mucinous cystadenomas of the liver
A Manouras, E Lagoudianakis, L Alevizos, H Markogiannakis, G Kafiri, C Bramis, K Filis, K Toutouzas, First Department of Propaedeutic Surgery, Hippocrateion Hospital, University of Athens, Athens Medical School, Athens 11527, Greece
Author contributions: Manouras A and Lagoudianakis E designed the work; Lagoudianakis E, Alevizos L, Markogiannakis H and Bramis C performed the research; Kafiri G provided the pathology report; Manouras A, Lagoudianakis E, Filis K and Toutouzas K analyzed the data; and Lagoudianakis E and Alevizos L wrote the paper.
Correspondence to: Andreas Manouras, PhD, Associate Professor, General Surgery, 1st Department of Propaedeutic Surgery, Hippocrateion Hospital, Athens Medical School, University of Athens, Q. Sophias 114, Athens 11527, Greece. amanouras@hippocratio.gr
Telephone: +30-69-77304422
Fax: +30-210-7707574
Received: March 17, 2008
Revised: May 23, 2008
Accepted: May 30, 2008
Published online: July 14, 2008
Revised: May 23, 2008
Accepted: May 30, 2008
Published online: July 14, 2008
Abstract
Biliary cystadenomas of the liver are rare, cystic neoplasms of the biliary ductal system usually occur in middle aged women. We report a case of synchronous multiple huge biliary mucinous cystadenomas with unique features. This is, according to our knowledge, the first report in the literature about three synchronously occurring hepatobiliary cystadenomas. Cystadenomas have a strong tendency to recur, particularly following incomplete excision, and a potential of malignant transformation. A therapeutic re-evaluation may be necessary when the diagnosis of hepatobiliary cystadenoma is made after the operation and an open liver resection should be considered.
Keywords: Biliary cystadenoma, Liver cysts, Laparoscopic fenestration