The diagnosis of nonparasitic hepatic cysts has been significantly improved with the development of imaging techniques, however, the successful differential diagnosis depends on more careful consideration. The differential diagnosis of multiple hepatic cysts and polycystic liver disease depends on the family heredity, number of cysts, combination of polycystic kidney, division and the results of B ultrasound. The differential diagnosis of hepatic cyst and hepatic cystic adenocarcinoma depends on the imaging features and results of histopathological examination. Recently, laparoscopic surgery has been widespreadly used in the management of hepatic cystic disease, while it still cannot replace open surgery. The individualized and various treatment should be selected according to the condition of the patients.
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