Biliary cystadenoma and cystadenocarcinoma surgery

Biliary cystadenoma and cystadenocarcinoma Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Suveenkrishna Pothuru, M.B,B.S. [2]

Overview

Surgical resection of tumor is the mainstay of treatment for biliary cystadenoma. Complete enucleation of the cyst is a safe and effective treatment for biliary cystadenoma and hepatic resection is a suitable treatment option for biliary cystadenocarcinoma.

Surgery

• The possibility for recurrence or malignant transformation justify an aggressive approach to biliary cystadenoma.
• Since biliary cystadenoma cannot be easily differentiated preoperatively or intraoperatively from cystadenocarcinoma total surgical resection should always be considered.
• Moreover techniques such as aspiration, fenestration, internal drainage, intratumoral sclerosant application or partial resection have disappointing results since recurrence rate is extremely high
• Complete enucleation of the cyst is a safe and effective treatment for biliary cystadenoma.
• Hepatic resection is a suitable treatment option for biliary cystadenocarcinoma.