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Dr AvinashTank, is a super-specialist (MCh) Laparoscopic Gastro-intestinal Surgeon,
LIVER SIMPLE CYST
Hepatic simple cyst refers to a fluid filled mass in the liver.
Several diseases may produce cystic lesions in the liver, which could be a true simple cyst (not because of an infection), multiple cysts as part of polycystic liver disease (PCLD), parasitic or hydatid (echinococcal) cysts, cystic tumors, and abscesses (infections).
Most of them do not have any symptoms. Only about 10-15% of people have symptoms. Often, they are incidentally found on ultrasonography (USG), CT scan and other imaging tests performed for another disease.
Risk Factor
The simple liver cysts are believed to be congenital in origin (present from birth). The fluid is continually secreted by the wall of the cyst and therefore if the fluid is sucked into a syringe through a needle, it would accumulate again. Polycystic liver disease (AD-PCLD) is also congenital and is usually part of disease process where cysts are found in kidneys as well. People with cysts both in kidney and liver generally tend to have kidney disease predominantly, with liver cysts rarely causing symptoms or liver failure. Women are more commonly affected, the cysts may increase in size and number with use of oral contraceptives.
Symptoms
Simple cysts generally cause no symptoms. Someone may feel dull pain in right upper abdomen, abdominal bloating or early satiety. Occasionally, when the cyst is very large, a lump may be felt in the abdomen. Rarely, it may obstruct the bile duct to produce jaundice, rupture to produce acute abdominal pain or get infected to produce liver abscess (abdominal pain, fever, and raised blood counts).
In poly-cystic liver disease, the liver may be enlarged causing abdominal pain and occasionally even liver failure.
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Diagnosis
The following tests may be done to find the cysts: blood tests, including liver function tests, ultrasound, abdominal CT scan or MRI.
Complications
In most cases, simple cyst is asymptomatic and remains silent for year. Complications are rare. Bleeding into the cyst is most common. Rupture is another complication.
Treatment
Simple cysts not producing any symptoms do not need any treatment and can be observed with regular ultrasound (USG) tests. If the cyst gets infected or produces severe symptoms, it can be removed surgically. Surgery may be open or laparoscopic approach. Unroofing the cyst (fenestration) by a laparoscopic approach also can be done with an overall success rate of more than 90% and a 10% rate of symptomatic cyst recurrence. Advantages of the laparoscopic approach are less postoperative pain, and success rates similar to those of cases done open.
Prognosis
Prognosis of hepatic cysts is good treated before development of complications.
DR. AVINASH TANK
- Super-specialist Liver, Gastro, Obesity & Cancer Surgeon
- Trained from Best Centres of India: SMS Medical College Jaipur (Rajasthan); Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow (UP). Dr Avinash Tank is the best bariatric surgeon in Ahmedabad, India.
- Rewarded Fellowship in
- Laparoscopic Liver Surgery & Liver Transplantation from South Korea
- Advanced Pancreas Surgery from Japan.
- Bariatric Surgery (IAGES), India.
- Recipient of many National & International Awards for clinical research.
- Awards with Photos
- Best Obesity & Gastro Surgeon: Deputy Chief Minister of Gujarat, 2019
- Heroes 2019: Excellence in Gastro & Obesity Surgery.
- Obesity Doctor of Year 2020, at Vyapaar Jagat Convention & Awards, 2020.
- Top Achievements
- Gall stones: We removed 1070 stones of gall-bladder by laparoscopic surgery. This news is covered in Divya Bhaskar newspaper on 1st April 2019.
- Highest Weight Reduction.
- 80 Kg Weight reduction (167 kg to 80kg) within 1 year after surgery
- Diabetes Free Life
- All blood-sugar levels are normal within 48 hrs of surgery
- All diabetes medicines are stopped after surgery
- Cancer Free Life
- 12 years of Cancer Free Life after Stomach & Colon Cancer Surgery.
- Acidity
- 10 year old acidity (Reflux) problem is solved by 2 hours of surgery.
- Intestine Surgery
- 3 Idiots fame Bollywood Writer Abhijat Joshi’s father was operated for intestine blockage.
- Past Designations
- Ex Founder Head of Department of Liver, Gastro, Obesity Surgery at Shalby Hospital (2010 to 2017).
- Ex Visiting Consultant, Civil Hospital, BJ Medical College, Ahmedabad.
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