Objective To investigate the value of laparoscopy in the treatment of hepatic multiple cysts.Methods Data of 39 cases of hepatic multiple cysts who received laparoscopic fenestration in our hospital from November 2004 to November 2009 were collected and analyzed to observe the operative time,intraoperative blood loss and the occurrence of complications,including 11 male cases and 28 female cases,with the mean year of 61 years（41-72 years）.Results The operations were successful in all the 39 cases,which the mean of cysts was 4（2-15） being dealt with.The mean operative time was 37min（20-55 min）.The mean blood loss was 22ml（5-60 ml）.Outward draining tubes were placed via the abdominal cavities,and the mean duration of hospitalization was 4.3d（3-7 d）.None of postoperative hemorrhage,bile leakage,liver functions failure and other complications occurred.All the 39 patients were wholly healed up and discharged.After 6 months to 6 years follow-up,of the 39 cases,13 recurrent cases were found,which the cysts reduced by less than 1/3 in 10 cases,by 1/3-2/3 in 3 cases.Conclusion Laparoscopic fenestration in the treatment of hepatic multiple cysts is of minimal injury,less pain,little expense and rapid recovery.

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