Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical Surgery2070-478X2409-143XVoronezh State Medical University154810.18499/2070-478X-2022-15-2-154-157Research ArticleEndovideosurgery Potential in the Treatment of Liver CystsSiguaBadri Valerievich<p>MD, PhD, professor of the Department of Faculty Surgery named after I.I. Grekov</p>dr.sigua@gmail.comhttps://orcid.org/0000-0002-4556-4913ZemlyanoyVyacheslav Petrovich<p>MD, PhD, professor, Head of the Department of Faculty Surgery named after I.I. Grekov</p>zeml.spb@mail.ruhttps://orcid.org/0000-0003-2329-0023GurzhiiDmitrii Vitalievich<p>PhD, assistant of the Department of Faculty Surgery named after I.I. Grekov</p>gurzhiydv@ro.ruhttps://orcid.org/0000-0002-4005-0403SyominDmitrii Sergeevich<p>PhD, surgeon of the surgical department №2</p>cosmo@list.ruIvanyukovaMaria Alexandrovna<p>Surgeon of the surgical department №2</p>mashaivanyukova@gmail.comZakharovEvgeny Alexeyevich<p>Surgeon of the surgical department №2</p>dr.zakharovea@gmail.comhttps://orcid.org/0000-0002-2070-7420North-Western state medical university named after I.I. Mechnikov0611202215215415724112021Copyright © 2022, Sigua B.V., Zemlyanoy V.P., Gurzhii D.V., Syomin D.S., Ivanyukova M.A., Zakharov E.A.2022<p>Non-parasitic cystic lesions of the liver are asymptomatic for a long time and appear to be an accidental diagnostic finding. It should also be noted that when choosing a treatment strategy, it is necessary to carry out differential diagnostics with parasitic cysts in echinococcosis and opisthorchiasis, as well as decay areas in alveococcosis and liver cancer. The paper describes a clinical case of successful management of a patient with a liver cyst. Prior to admission, the patient was examined outpatiently: ultrasound examination, spiral computed tomography of the abdominal organs detected a liquid formation in the projection of liver segments IIIII measuring 89x79x88 mm. In addition, immunological studies were carried out to differentiate the origin of cystic formation. The presence of IgG antibodies to Toxocara was confirmed, the fact allowing for the parasitic origin of the cyst. The patient was admitted to the Surgical Clinic named after I.I. Grekov, North-Western State Medical University named after I.I. Mechnikov, for planned surgical treatment - en bloc resection of liver segments II-III and cholecystectomy, due to concomitant cholelithiasis. The resected edge of the liver and the gallbladder bed were processed using argon plasma coagulation. The postoperative period appeared unremarkable. The histopathological examination finding was a solitary cyst of the bile duct, with chronic active inflammation in the surrounding liver tissue. The patient was discharged in a satisfactory condition on the eleventh day after the operation under the supervision of a surgeon, therapist and infectious disease specialist. Thus, an interdisciplinary approach is a key in the treatment of patients with liver cysts and allows choosing the optimal treatment tactics.<br />Endovideosurgical technologies allow conducting radical surgical interventions for liver cysts, even in cases when their parasitic origin cannot be excluded.</p>non-parasitic liver cystsdiagnosticssurgeryendovideosurgeryclinical caseнепаразитарные кисты печенидиагностикахирургическое лечениеэндовидеохирургияклинический случай[Freund GG, Zhivaeva EV. Morphogenetic variants of nonparasitic liver cysts. Experimental and clinical gastroenterology. 2018; 156(8): 94–98. DOI: 10.31146/1682-8658-ecg-156-8-94-98 (in Russ.)][Antonacci N, Ricci C, Taffurelli G, Casadei ., Minni F. Systematic review of laparoscopic versus open surgery in the treatment of non-parasitic liver cysts. Updates Surg. 2014; 66: 231–238. DOI: 10.1007/s13304-014-0270-3][Shimada S, Hara Y, Wada N, Nakahara K, Takayanagi D, Ishiyama Y, Maeda C, Mukai S, Sawada N, Yamaguchi N, Sato Y, Hidaka E, Ishida F, Kudo S.E. Spontaneously ruptured hepatic cyst treated with laparoscopic deroofing and cystobiliary communication closure: a case report. Asian J. Endosc. Surg. 2016; 9: 208–210. DOI: 10.1111/ases.12284][Marques A, Camarneiro R, Silva R, Rodrigues A, Dionísio I, Ferreira Á, Brito E, Melo M. Laparoscopic deroofing of a ruptured hepatic cyst presenting as an acute abdomen. J. Surg. Case Rep. 2019; 2: 1–3. DOI: 10.1093/jscr/rjy347][Gamlin TC, Holloway SL, Heckman JT. Laparoscopic resection of benign hepatic cysts: a new standard. J Am Coll Surg. 2008; 207(5): 731-736. DOI: 10.1016/j.jamcollsurg.2008.07.009][Heathcote E. Management of primary biliary cirrhosis. Hepatology. 2000; 31(4): 1005-1013. DOI: 10.1053/he.2000.5984][Tolstikov AP, Zakharova AV. Minimally invasive surgery in the treatment of patients with non-parasitic liver cysts. Meditsinskii al'manakh. 2010; 1: 10: 151-152. (in Russ.)][Neijenhuis MK, Wijnands TFM, Kievit W, Ronot M, Gevers TJG, Drenth JPH. Symptom relief and not cyst reduction determines treatment success in aspiration sclerotherapy of hepatic cysts. Eur Radiol. 2019; 29: 6: 3062-3068. DOI: 10.1007/s00330-018-5851-y.][Martel G, Ismail S, Begin A, Vandenbroucke-Menu F, Lapointe R. Surgical management of symptomatic hydatid liver disease experience from a Western centre. Can. J. Surg. 2014; 57: 5: 320-326. DOI: 10.1503/cjs.024613]