Open AccessPercutaneous Aspiration and Alcohol Sclerotherapy for Symptomatic Hepatic Cysts
Author(s) -
Matti I. Kairaluoma,
A Lein,
M Ståhlberg,
M. Pãivänsalo,
Heikki Kiviniemi,
T Siniluoto
Publication year - 1989
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-198908000-00012
Subject(s) - medicine , sclerotherapy , cyst , surgery , percutaneous , polycystic liver disease , alcohol , liver transplantation , transplantation , biochemistry , chemistry
Eight patients with 15 symptomatic nonneoplastic congenital hepatic cysts underwent ultrasound-guided percutaneous aspiration and temporary injection of 99% ethanol into the cyst. All cysts were treated at least twice at the same sitting. The volume of alcohol injected varied from 20 to 100 ml, depending on the size of the cyst. A cure was usually achieved with one alcohol sclerotherapy treatment. Only minor side effects such as transient pain and temperature elevation occurred. No recurrences were found during a follow-up period of 12 to 32 months. The results indicate that aspiration and alcohol sclerotherapy is a feasible alternative to surgical intervention in patients with symptomatic nonneoplastic congenital hepatic cysts. We recommend it as the treatment of choice in cases with high surgical risk or polycystic liver disease.