BACKGROUND: Prior to the era of laparoscopic surgery, open surgical deroofing was considered to be the most appropriate therapy for uncomplicated simple @entity99 . Recently, there have been a number of reports of successful laparoscopic fenestration of simple @entity99 . Simple aspiration of these cysts is associated with a high recurrence rate. @entity1463 with @entity167 and, more recently, @entity1214 have been found to be effective in their management. So far there have been no trials comparing laparoscopic deroofing with sclerotherapy. A lack of consensus in their management results in considerable @entity911 and difficulty in deciding the optimum form of therapy. METHODS: A systematic review of articles on the subject appearing in journals in the English language was conducted using the Medline database and by cross-referencing. RESULTS AND CONCLUSIONS: Both laparoscopic deroofing and @entity1463 have been found to be effective in partial or complete obliteration of the cyst and in the relief of symptoms produced by the cyst. It is essential to rule out @entity9296 , @entity5 , biliary communication and @entity281 prior to treating these cysts. @entity167 / @entity1214 based sclerotherapy has the advantage of being associated with a lower incidence of complications. Surgery is indicated if it is difficult to rule out the above mentioned conditions, in the presence of biliary communication, in those cysts where @entity1463 has been ineffective and in cases of recurrence. The choice between open and laparoscopic surgery depends on the location of the @entity96 .

The management of simple XXXX : sclerotherapy or laparoscopic fenestration.

@entity1214 :: ('MESH:D008911', 'Chemical') :: ['minocycline hydrochloride', 'minocycline'] @entity96 :: ('MESH:D008113', 'Disease') :: ['cysts within the liver parenchyma'] @entity167 :: ('CHEBI:16236', 'Chemical') :: ['alcohol', 'Alcohol'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignancy'] @entity1463 :: ('MESH:D012598', 'Disease') :: ['Cyst sclerosis', 'cyst sclerosis', 'sclerosis'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity911 :: ('MESH:D003221', 'Disease') :: ['confusion'] @entity99 :: ('MESH:D056486', 'Disease') :: ['hepatic cysts'] @entity9296 :: ('MESH:D003537', 'Disease') :: ['cystadenoma']
@entity99 :: (MESH:D056486,Disease) :: ['hepatic cysts']
