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Laparoscopic unroofing of simple liver cyst - general and visceral surgery
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Expose the cyst and open it with the electrocautery scissors. Suction the cyst contents.
Tips: Depending on the thickness and quality of the cyst wall, resect it with the mono-/bipolar scissors or even the harmonic scalpel!
Perform careful hemostasis!
Deeper cysts (e.g., in polycystic liver disease) may display a blueish tinge and must be differentiated from veins: In these cases, laparoscopic ultrasound with vascular Doppler capability can be quite helpful!
Inspecting the cyst for neoplasia
Circular resection of cyst wall
Inspecting the cyst bed
Removing the trocars
Suturing the trocar site fascia
External fascia sutures at the trocar sites, subcutaneous sutures and subcuticular absorbable suture, sterile dressing