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J Minim Access Surg. 2018 Nov 9. doi: 10.4103/jmas.JMAS_68_18. [Epub ahead of print]

Resection of giant hepatic cyst by hybrid minilaparoscopy.

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Department of General Surgery, Faculty of Medical Sciences, University of Pernambuco; Videolaparoscopic Surgery Clinic Gustavo Carvalho; Member of UNIPECLIN (Clinical Research Group of the University of Pernambuco), University of Pernambuco, Recife, Brazil.
Department of General Surgery, Faculty of Medical Sciences, University of Pernambuco, Recife, Brazil.
Department of General Surgery, Oswaldo Cruz University Hospital, Recife, Brazil.
Department of General Surgery, Pernambuco Health College, Recife, Brazil.


A female patient, 59-year-old, was complaining of abdominal pain in the right hypochondrium and mesogastrium for 6 months. Ultrasonography and abdominal computed tomography were performed, both confirming a large hepatic cyst (10.6 cm × 7.6 cm × 7.3 cm) on the left lobe. A hybrid minilaparoscopic resection was proposed. We opted for unroofing the cyst, and the procedure was uneventfully performed, with a total surgical time of 60 min. In the post-operative the patient did well, with minimal abdominal pain, being discharged on the 5th post-operative day, after drain removal due to the use of intravenous antibiotic therapy.


Hepatic cyst; liver cyst; microlaparoscopy; minilaparoscopy; minimally invasive surgery; needlescopic surgery

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