STEP 2Definition of the surgical approach

Most of the cysts located in the right liver are easy to dissect away from the diaphragm. If not safely feasible, a partial resection of the diaphragm must be performed.

In case of major vascular involvement or with invasion of the left or right hepatic duct, an anatomical liver resection is indicated.

In case of a cyst located deep within the liver, liver resection is also recommended. However, when depth from the liver surface is less than 2-3 cm, a hepatotomy allows the cyst to be reached and a standard pericystectomy can be performed.

For cysts located close to the vena cava in segments 6 or 7, the liver needs to be mobilized as for a right hepatectomy.

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How to Stay Young

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