The abdomen is opened by a median upper abdominal laparotomy, which is extended horizontally to the right supraumbilically. After draping the wound edges with abdominal towels, a pulley system with a Mercedes retractor is applied.
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                Findings collection; Adhesiolysis; Preparation of the extrahepatic pericyst in the left liver lobe                
Typically, the cysts show massive adhesions to the surroundings. Initially, the adhesions of the le
            Typically, the cysts show massive adhesions to the surroundings. Initially, the adhesions of the le
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