What is the treatment of a symptomatic simple hepatic cyst?
When a simple hepatic cyst becomes symptomatic, watchful waiting is no longer sufficient. The clinical question shifts to which volume-reducing intervention is most appropriate for the patient and the treating centre.
Clinical scenario
Symptomatic simple hepatic cyst — a benign hepatic cyst causing symptoms that warrant active intervention. The approach must account for the specific capabilities and experience available at the treating institution.
Treatment approach (overview)
Management centres on a volume-reducing strategy; the choice among available methods depends on local expertise and patient-specific factors — including whether a minimally invasive or percutaneous route is pursued.
The complete method-selection algorithm and procedural details are in the full protocol →
References
Symptomatic hepatic cysts can be treated surgically or with percutaneous aspiration sclerotherapy.
There are various methods for volume-reducing treatment, such as percutaneous drainage with or without sclerosing, minimally invasive deroofing, and complete resection. The most accessible and experienced method should be selected according to specific circumstances of each center.
DOI: 10.14701/ahbps.25-070
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