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2017, Número 1

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Rev Mex Cir Endoscop 2017; 18 (1)


Manejo laparoscópico del quiste hepático gigante. Revisión de la literatura

Shiordia PFJ, Ugalde VF, Torices EE, López MC

Idioma: Español
Referencias bibliográficas: 63
Paginas: 29-39
Archivo PDF: 336.99 Kb.


RESUMEN

Introducción: Los quistes simples son vistos en menos del 5% de la población general. Éstos se observan principalmente en pacientes mayores de 40 años, y alcanzan tamaños gigantes casi con exclusividad en los mayores de 50 años. Sólo el 15% de dichos quistes son sintomáticos. Los quistes hepáticos son el principal hallazgo clínico en la enfermedad poliquística del hígado y la manifestación extrarrenal más frecuente de la enfermedad poliquística renal autosómica dominante. Material y métodos: Se hizo una búsqueda electrónica en las plataformas de PubMed, Medline, Central, Embase, Bandolier y Cochrane Central Database de artículos publicados de enero de 2000 hasta el mes de noviembre de 2016. Se utilizaron las siguientes palabras clave: giant, hepatic, cyst, liver, treatment, management, diagnosis y laparoscopic. Se realizó un análisis de todos los artículos y se llevó a cabo esta revisión haciendo énfasis en la evaluación, diagnóstico y tratamiento de los quistes hepáticos gigantes. Conclusión: En todos los artículos revisados, el destechamiento y la fenestración laparoscópicos son actualmente los métodos de tratamiento. Podemos afirmar que la laparoscopía debe ser el primer recurso de tratamiento por ofrecer seguridad y bajos índices de recidiva, además de excelente control del dolor postoperatorio y baja morbimortalidad. La elección de otro método de tratamiento dependerá de cada caso.


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