Evaluating the effectiveness of minimally invasive techniques in the management of hepatobiliary cysts: outcomes and complications
1Dr Shakir Hussain keerio, 2Dr Muhammad Salman, 3Xiaojun Yu, 4Dr Muhammad Rashed, 5Aftab Ahmad Baig, 6Hongchuan Zhao
Submission: 10 December 2025 | Acceptance: 16 January 2026 | Publication: 18 February 2026
1Assistant professor Peoples university of medical and health sciences for women’s Nawab Shah.
2Assistant Professor, Jinnah Medical college Peshawar
3The First Affiliated Hospital of Anhui Medical University, CN (China)
4Surgical Specialist Type D hospital Garhi Habibullah, Mansehra
5Assistant Professor, General Surgery Unit 1, Akhtar Saeed Trust Hospital, Lahore
6The First Affiliated Hospital of Anhui Medical University, CN (China)
ABSTRACT:
Background: Minimally invasive techniques have revolutionized the management of hepatobiliary cysts by reducing postoperative morbidity and hospital stay. However, their effectiveness in terms of outcomes and complications requires further evaluation in diverse clinical settings.
Aim: This study aimed to evaluate the effectiveness of minimally invasive techniques in the management of hepatobiliary cysts, focusing on patient outcomes and complications.
Methods: A prospective observational study was conducted at Mayo Hospital, Lahore, from November 2023 to October 2024. A total of 60 patients diagnosed with hepatobiliary cysts were enrolled. Patients underwent minimally invasive procedures, including laparoscopic cyst fenestration, deroofing, and drainage, based on clinical indications. Data were collected on demographic characteristics, operative details, complications, and outcomes. Statistical analysis was performed using SPSS version 25.
Results: Out of the 60 patients, 55 (91.7%) underwent successful procedures without conversion to open surgery. The mean operative time was 90 ± 15 minutes, and the mean hospital stay was 3 ± 1.2 days. Postoperative complications occurred in 8 patients (13.3%), primarily bile leakage and transient pain, all managed conservatively. No mortality was reported. Complete resolution of symptoms was observed in 52 patients (86.7%) at a 6-month follow-up.
Conclusion: Minimally invasive techniques demonstrated high effectiveness and safety in the management of hepatobiliary cysts, with minimal complications and excellent clinical outcomes. These findings support the adoption of such approaches in appropriate clinical scenarios.
Keywords: Hepatobiliary cysts, minimally invasive techniques, laparoscopic management, clinical outcomes, complications, Mayo Hospital Lahore.