Laparoscopic Hepatic Cyst Fenestration Using Linear Staplers for a Ruptured Recurrent Hepatic Cyst: A Case Report

Laparoscopic fenestration of hepatic cysts is recommended for the treatment of symptomatic simple hepatic cysts. However, postoperative recurrence is frequently reported; there is no standardized treatment strategy for recurrent hepatic cysts. We herein present the case of a 78-year-old woman who underwent emergency laparoscopic hepatic cyst fenestration for a ruptured recurrent hepatic cyst 9 months after the initial surgery. To shorten the operation time, reduce perioperative complications, and prevent postoperative recurrence, we performed a large fenestration using linear staplers. No significant perioperative complications were observed, and the patient remained recurrence-free after the second surgery. Spontaneous rupture of a simple hepatic cyst is rare. To our knowledge, this is the first reported case of laparoscopic hepatic cyst fenestration for a ruptured recurrent hepatic cyst. Laparoscopic hepatic cyst fenestration using staplers may be effective in preventing the recurrence of hepatic cysts and managing emergency cases.