Background: We report a case of severe polycystic liver disease (PLD) with jaundice in a 57-year-old woman who underwent successful left trisegmentectomy. Method: She was admitted for the first time in February 1992 to our hospital with a 7-year history of PLD, and became jaundiced in June 1995. Because normal liver parenchyma was confirmed mainly to the posterior segment, left trisegmentectomy was performed. Results: No postoperative complication occurred. The serum bilirubin level decreased promptly after the operation, but postoperative endoscopic retrograde cholangiography showed that the root of the posterior hepatic duct remained thin. Thus, the elimination of jaundice was presumed to have been caused by a decrease of intra-abdominal and peripheral biliary pressure, since a large volume of tissue had been removed from the peritoneal cavity. She has since remained well without any symptoms. Conclusion: This procedure is useful for severe PLD, because it can be performed safely and the symptoms disappear dramatically. However, further follow-up is needed to determine the long-term effects of this procedure, because the remaining liver has shown some increase in size.

1.
Longmire WP Jr, Mandiola SA, Gordon EH: Congenital cystic disease of the liver and biliary system. Ann Surg 1971;174:711–724.
2.
Comfort MW, Gray HK, Dahlin DC, Whitesell FB: Polycystic disease of the liver: A study of 24 cases. Gastroenterology 1952;20:60–78.
3.
Henson SW Jr, Gray HK, Dockerty MD: Benign tumors of the liver. IV. Polycystic disease of surgical significance. Surg Gynecol Obstet 1957;104:63–67.
4.
Peltokallio V: Non-parasitic cysts of the liver. A clinical study of 117 cases. Ann Chir Gynecol 1970;59:1–63.
5.
Farges O, Bismuth H: Fenestration in the management of polycystic liver disease. World J Surg 1995;19:25–30.
6.
Que F, Nagorney DM, Gross JB Jr, Torres VE: Liver resection and cyst fenestration in the treatment of severe polycystic liver disease. Gastroenterology 1995;108:487–494.
7.
Armitage NC, Blumgart LH: Partial resection and fenestration in the treatment of polycystic liver disease. Br J Surg 1984;71:242–244.
8.
Starzl TE, Reyes J, Tzakis A, Mieles L, Todo S, Gordon R: Liver transplantation for polycystic liver disease. Arch Surg 1990;125:575–577.
9.
Howard RJ, Hanson RF, Delany JP: Jaundice associated with polycystic liver disease. Relief by surgical decompression of the cysts. Arch Surg 1976;111:816–817.
10.
Van Erpecum KJ, Janssens AR, Terpstra JL, Tjon A, Tham RTO: Highly symptomatic adult polycystic disease of the liver. J Hepatol 1987;5:109–117.
11.
Wittig JH, Burns R, Longmire WP Jr: Jaundice associated with polycystic liver disease. Am J Surg 1978;136:383–386.
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