Article

Treatment of symptomatic hepatic cysts by percutaneous instillation of minocycline hydrochloride.

Second Department of Internal Medicine, Yamagata University School of Medicine, Japan.
Digestive Diseases and Sciences (impact factor: 2.12). 12/1994; 39(11):2503-9. DOI:10.1007/BF02087673 pp.2503-9
Source: PubMed

ABSTRACT Nine patients with 16 symptomatic nonneoplastic congenital hepatic cysts were treated prospectively by ultrasonically guided percutaneous minocycline hydrochloride injection, and the usefulness of this treatment was evaluated. Seven of the patients had multiple hepatic cysts, and two solitary cysts. All the patients were women, ranging in age from 36 to 81 years. After cystic fluid had been aspirated with a 21-gauge PTC needle, minocycline hydrochloride was injected into all the cysts. The minocycline hydrochloride was dissolved in saline at a concentration of 200 mg in 9 ml, and mixed with 1 ml of 2% mepivacaine hydrochloride. The total quantity of minocycline hydrochloride injected varied from 100 mg to 1200 mg per hepatic cyst, depending on its size. Total or subtotal regression of the cysts was observed in all patients during follow-up periods ranging from 15 to 35 months. Seven patients became symptom-free, one showed symptom reduction, and one showed no change in symptoms. Minor side effects, eg, transient abdominal pain, slight right shoulder pain, and temperature elevation, were noted in three patients respectively. On the basis of these results, we conclude that ultrasonically guided percutaneous minocycline hydrochloride injection is useful for the treatment of symptomatic hepatic cysts.

0 0
 · 
0 Bookmarks
 · 
20 Views
  • Source
    Article: The management of simple hepatic cysts: sclerotherapy or laparoscopic fenestration.
    K Moorthy, N Mihssin, P W Houghton
    [show abstract] [hide abstract]
    ABSTRACT: Prior to the era of laparoscopic surgery, open surgical deroofing was considered to be the most appropriate therapy for uncomplicated simple hepatic cysts. Recently, there have been a number of reports of successful laparoscopic fenestration of simple hepatic cysts. Simple aspiration of these cysts is associated with a high recurrence rate. Cyst sclerosis with alcohol and, more recently, minocycline hydrochloride have been found to be effective in their management. So far there have been no trials comparing laparoscopic deroofing with sclerotherapy. A lack of consensus in their management results in considerable confusion and difficulty in deciding the optimum form of therapy. A systematic review of articles on the subject appearing in journals in the English language was conducted using the Medline database and by cross-referencing. Both laparoscopic deroofing and cyst sclerosis have been found to be effective in partial or complete obliteration of the cyst and in the relief of symptoms produced by the cyst. It is essential to rule out cystadenoma, malignancy, biliary communication and infection prior to treating these cysts. Alcohol/minocycline based sclerotherapy has the advantage of being associated with a lower incidence of complications. Surgery is indicated if it is difficult to rule out the above mentioned conditions, in the presence of biliary communication, in those cysts where sclerosis has been ineffective and in cases of recurrence. The choice between open and laparoscopic surgery depends on the location of the cysts within the liver parenchyma.
    Annals of The Royal College of Surgeons of England 12/2001; 83(6):409-14. · 1.23 Impact Factor
  • Source
    Article: Medical and surgical treatment options for polycystic liver disease1
    Joost P.H. Drenth, Melissa Chrispijn, David M. Nagorney, Patrick S. Kamath, Vicente E. Torres
    Hepatology 11/2010; 52(6):2223 - 2230. · 11.66 Impact Factor
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.

Keywords

16 symptomatic nonneoplastic congenital hepatic cysts
 
2% mepivacaine hydrochloride
 
35 months
 
cystic fluid
 
cysts
 
follow-up periods
 
hepatic cyst
 
minocycline hydrochloride
 
patients
 
percutaneous minocycline hydrochloride injection
 
showed symptom reduction
 
solitary cysts
 
subtotal regression
 
symptom-free
 
symptomatic hepatic cysts
 
symptoms
 
temperature elevation
 
total quantity
 
transient abdominal pain
 
varied