Managements of simple XXXX : ablation therapy versus cyst unroofing.

@entity1 @entity548 @entity96 @entity3808 @entity1410 @entity158 @entity810 @entity1068 @entity1543
BACKGROUNDS/AIMS: Simple @entity96 were easily recognizable with the advanced imaging procedures, such as ultrasound and computed tomography scan. A large cyst or significant symptoms were indications for the treatments. Ablation therapy with @entity3808 agents was effective, but there were several complications including severe @entity158 . With the surgical cyst unroofing method introduced, we compared the cyst unroofing method and ablation therapy. METHODS: Between March 1997 and May 2011, we performed treatments of simple @entity96 in 27 @entity1 . There were 23 @entity1 and 4 @entity1 (age range: 42-84 years; mean age: 64 years). The cyst unroofing was undergone with laparoscopic (n=13) and open technique (n=1). The ablation therapy was performed with @entity1068 (n=13) and @entity1543 (n=1). RESULTS: The usual symptoms of the @entity96 were abdominal mass (n=7), indigestion (n=4), abdominal discomfort (n=3), and the increasing size of the cysts (n=4). The mean diameter of the cysts was 10.9 cm. The cyst unroofing method was performed effectively in 14 @entity1 . One @entity1 had @entity548 during operation, and was converted to the open technique. One @entity1 had a bile leak from the cyst, but it was successfully closed with the laparoscopic technique. Among the 14 cases with the ablation therapy, there were 4 complications: @entity1410 (n=1); cyst leaking during aspiration (n=2); @entity810 (n=1); and death due to @entity1543 intoxication (n=1). CONCLUSIONS: Laparoscopic cyst unroofing was more effective and safer in management than the ablation therapy in simple @entity96 .
