General Surgery
doi: 10.25005/2074-0581-2023-25-3-390-399
MODERN ASPECTS OF NONPARASITIC LIVER CYSTS

I.A. Kopytin1, V.V. Ivanov1, V.B. Filimonov1, G.Y. Zhuravlyov2, V.S. Fomin3, I.V. Abramov1

1Department of Urology with a Course of Surgical Diseases, Ryazan State Medical University named after Academician I.P. Pavlov, Ryazan, Russian Federation
2Department of Faculty Surgery, Tambov Medical Institute, Tambov, Russian Federation
3Department of Surgical Diseases and Clinical Angiology, Moscow State Medical and Dental University named after A.I. Evdokimov, Moscow, Russian Federation

Objective: The relevance of nonparasitic cysts of the liver (NPCL) is related to their steadily increasing incidence, high recurrence rates, delayed diagnosis, and potential complications. In general, hepatic cysts (HCs) are classified into several types, including simple and complex, false and true. Simple cysts are mainly congenital but also occur in polycystic liver disease. Complex cysts include mucinous neoplasms, echinococcal cysts, hemorrhagic cysts, cystic hepatocellular carcinoma, and other rare lesions. Nonparasitic cystic liver lesions do not usually cause symptoms, and their characteristics are not specific. In 15% of cases, nonspecific signs (flatulence, nausea, dyspepsia) accompany pain. Diagnosis of NPCL is based on data from ultrasound, CT, or MRI of the abdominal organs. There still needs to be a consensus on surgical treatment indications or the effectiveness and feasibility of its various methods. Many surgical interventions for NPCL treatment include puncture drainage, multiple minimally invasive (laparoscopic) surgery options, and open methods. In clinical practice, laparoscopic fenestration, associated with fewer complications and faster recovery, has become widespread. However, significant progress has yet to be achieved in reducing NPCL recurrence rates despite advances in surgical treatment. Therefore, multiple studies are underway to improve treatment options for this medical condition.

Keywords: Liver, cyst, nonparasitic cyst, pseudocyst, laparoscopic fenestration.

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Authors' information:

Kopytin Ivan Aleksandrovich,
Postgraduate Student, Department of Urology with a Course of Surgical Diseases, Ryazan State Medical University named after Academician I.P. Pavlov
ORCID ID: 0000-0003-2157-1219
E-mail: ivan_kopytin@bk.ru

Ivanov Vladislav Valerievich,
Candidate of Medical Sciences, Associate Professor, Department of Urology with a Course of Surgical Diseases, Ryazan State Medical University named after Academician I.P. Pavlov
ORCID ID: 0000-0002-4333-1067
E-mail: 990089@mail.ru

Filimonov Viktor Borisovich,
Doctor of Medical Sciences, Associate Professor, Department of Urology with a Course of Surgical Diseases, Ryazan State Medical University named after Academician I.P. Pavlov
ORCID ID: 0000-0002-2199-0715
E-mail: Filimonov1974@mail.ru

Zhuravlyov German Yurievich,
Doctor of Medical Sciences, Professor of the Department of Faculty Surgery, Tambov Medical Institute
ORCID ID: 0000-0003-3359-2551
E-mail: zhgy-surg@mail.ru

Fomin Vladimir Sergeevich,
Candidate of Medical Sciences, Associate Professor of the Department of Surgical Diseases and Clinical Angiology, Moscow State Medical and Dental University named after A.I. Evdokimov
ORCID ID: 0000-0002-1594-4704
E-mail: wlfomin83@gmail.com

Abramov Igor Vladimirovich,
Postgraduate Student,
Department of Urology with a Course of Surgical Diseases, Ryazan State Medical University named after Academician I.P. Pavlov
ORCID ID: 0000-0003-0204-5627
E-mail: Igo35049534@bk.ru

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The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Kopytin Ivan Aleksandrovich
Postgraduate Student, Department of Urology with a Course of Surgical Diseases, Ryazan State Medical University named after Academician I.P. Pavlov

390026, Russian Federation, Ryazan, Vysokovoltnaya str., 9

Tel.: +7 (920) 9996988

E-mail: ivan_kopytin@bk.ru

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