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Liver cyst fenestration

Hepatic cystectomy

Treatment is only needed when a liver cyst causes symptoms but simply draining the fluid from the cyst is not effective

About liver cyst fenestration

Liver cysts are small pockets of fluid that form in your liver. If they get too big, they can cause pain and swelling. Simply draining the fluid is not enough to remove a cyst, as it fills up again. A more effective way is laparoscopic 'de-roofing' where a large portion of the cyst wall is removed.

Need to know

  • What happens icon plus

    Your consultant will explain the procedure to you during your pre-op appointment, and also answer any questions you may have.

    Laparoscopic de-roofing is usually performed under general anaesthesia, which means you'll be asleep. It is a surgical procedure done through 2‒3 small cuts in the abdomen, and uses a flexible fibre optic tube with a tiny camera and a light on the end (laparoscope) to see inside the body (‘keyhole' surgery).

    Once the cyst is located, it's usually aspirated (drained of fluid) and part of the cyst wall is removed to prevent the cyst from refilling and recurring.

    You will be required to stay in hospital for one to two days.
  • How to prepare icon plus

    You'll have a pre-op assessment about 14 days before surgery to assess your general fitness.

    As you'll be receiving a general anaesthetic, you may need to limit your food and drink intake in the six hours leading up to surgery. You're usually given anti-thrombosis socks to wear to stop you from developing blood clots in the veins of your legs during and after the procedure.

    Be sure to inform your consultant in advance of any relevant medical information, such as:

    • an artificial heart valve
    • a coronary artery stent
    • a pacemaker or defibrillator
    • an artificial joint
    • an artificial blood vessel graft
    • a prescription for warfarin, aspirin or clopidogrel

  • Afterwards icon plus

    After your liver cyst excision, you'll be transferred to our recovery unit, where our dedicated team of HPB consultants and nurses will care for you. Recovery times for liver cyst excisions can vary, so your HPB consultant will explain when you can expect to leave the hospital and get back to your routine.

    Most people make a full recovery within two weeks, and the risk of the cyst recurring has been shown to be very low.
Consultant with patient

Our consultants

From complex surgery to straightforward procedures, we provide exceptional care across our network of hospitals, outpatient centres and specialist clinics.

Our facilities

From complex surgery to straightforward procedures, we provide exceptional care across our network of hospitals, outpatient centres and specialist clinics.

Request an appointment

We're happy to help you make an appointment with one of our experienced consultants.

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.
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