Complications in The Laparoscopic Management of Benign Cystic Lesions of The Liver

Open Access

Abstract

Background: Benign cystic liver lesions, including hydatid cysts, simple cysts, and abscesses, are increasingly detected through routine imaging. While laparoscopic surgery offers a minimally invasive alternative to open procedures, sparse data exist on its safety profile and complications. This study aimed to evaluate the adverse events of laparoscopic management for these lesions. Methods & Materials: This prospective observational study was conducted from July to December 2014 at five centres in Dhaka- Bangabandhu Sheikh Mujib Medical University, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders, Dhaka Medical College Hospital, Shaheed Suhrawardy Medical College, and selected private hospitals. The study included 30 patients with BCLL (HC n=18, SC n=8, LA n=4) undergoing LS. Inclusion criteria comprised symptomatic cysts, cysts >5cm, and failed medical management for LA. Data were analysed using SPSS version 22.0. Results: Mean operative times (MOT) ranged from 55-95 minutes. Complications occurred in 10% of cases, including port-site infections (PSI) (6.67%), bile leakage (BL) (3.33%), and peritonitis (3.33%). Conversion rate (CR) was 3.33% with no mortality. Conclusion: While laparoscopic management of BCLL demonstrates acceptable safety with a 10% complication rate, careful patient selection and meticulous surgical technique remain essential to minimise adverse events and optimise outcomes.