Pathophysiology, epidemiology, classification and treatment options for polycystic liver diseases

Table 7 Summary of largest series published on the surgical techniques used for cystic fenestration of symptomatic polycystic liver disease

Ref.	No. of patients	Technique	Outcome	Complications	Follow-up (mo)
van Erpecum et al[35]	15	Open fenestration	0% symptom recurrence	One mortality	Mean of 48
Kabbej et al[37]	13	Lap fenestration	72% symptom recurrence	54% morbidity	Mean follow-up 26
Gigot et al[38]	10	Open fenestration	11% symptom recurrence	60% morbidity	73 mean follow-up
van Keimpema et al[82]	12	Lap fenestration	Reduction in liver volume by 12.5%	Bile leak, vena cava occlusion and sepsis	-
Pirenne et al[92]	4	Lap fenestration	100% symptom relief	50% cyst recurrence	-
Liska et al[95]	7	Lap fenestration plus open	-	No mortality	Mean 41
Bai et al[96]	10	Lap fenestration	Symptom and cyst recurrence in 20%	3 patients with minor complications. No mortality	Mean of 57
Palanivelu et al[97]	4	Lap fenestration	100% cyst recurrence	-	-
Garcea et al[98]	6	Lap/Open fenestration	16.7% symptom recurrence, 33.3% cyst recurrence	50% morbidity	5-36
Neri et al[99]	3	Lap fenestration	100% symptom relief	50% morbidity	-
Kornprat et al[100]	8	Lap fenestration	0% symptom recurrence	-	-
Robinson et al[101]	11	Lap fenestration	54.5% symptom recurrence	-	-
Fiamingo et al[102]	6	Lap fenestration	30% symptom recurrence	50% morbidity	1-64
Tocchi et al[103]	18	Lap/open fenestration	-	-	-
Koperna et al[104]	39	Open fenestration (n = 34); Lap (n = 5)	21% symptom recurrence	-	75 mean follow-up
Morino et al[105]	7	Lap fenestration	40% symptom recurrence	44% morbidity rate	-
Farges et al[106]	13	Open fenestration	23% symptom recurrence	69% morbidity	84 follow-up
Ueno et al[118]	13	Open fenestration (n = 6); Lap (n = 13)	71% symptom recurrence	30% morbidity	37 mean follow-up

Lap: Laparoscopic.