Question
What is the patient’s age, main symptoms, the onset time of abdominal swelling and discomfort, and the results of laboratory tests?
Answer
Polycystic liver disease, also known as polycystic liver, is often congenital and commonly accompanied by kidney cystic disease. It is one of the commonly used benign liver diseases in clinical practice. The disease onset is insidious and is often discovered during physical examinations. When liver dysfunction is detected, symptoms of advanced liver disease such as abdominal swelling, ascites, and splenomegaly may occur. Therefore, polycystic liver disease should be treated in a timely manner to avoid serious consequences. The timing of treatment for polycystic liver disease should be determined based on the extent of the lesion, its progression speed, and its impact on liver function. The main treatment for polycystic liver disease is surgical treatment, which includes percutaneous needle aspiration of cyst fluid, laparoscopic cyst fenestration, and open abdominal cyst fenestration. Percutaneous needle aspiration of cyst fluid is the most commonly used method, characterized by convenience and effectiveness. Its drawback is that it is prone to recurrence. Injecting alcohol without water into the cyst cavity after puncture to destroy the epithelial cells lining the cavity is a commonly used method to reduce or delay recurrence. Laparoscopic cyst fenestration has a more certain therapeutic effect and is less likely to recur, showing its superiority in treating multiple cysts that involve both right and left lobes of the liver. Open abdominal cyst fenestration is less commonly used due to its high trauma and no significant advantage over laparoscopic techniques. Finally, it should be noted that for some individuals, the liver tissue has been largely eaten away by cysts, and the condition has entered an irreversible stage of liver disease.