Percutaneous Aspiration with Sclerotherapy
Image-guided aspiration and alcohol sclerotherapy of simple liver cysts — non-surgical treatment for symptomatic hepatic cysts.
What is Percutaneous Aspiration with Sclerotherapy?
Percutaneous aspiration with sclerotherapy is a non-surgical treatment for simple symptomatic liver cysts. The cyst is aspirated under CT or ultrasound guidance and then filled with absolute alcohol, which destroys the secreting epithelium and causes the cyst to shrink permanently.
Dr. Tagore Mohan Grandhi uses percutaneous aspiration with sclerotherapy for simple unilocular liver cysts in patients who are not suitable for laparoscopic deroofing or who prefer a non-surgical approach. Success rates are 70–80% for simple cysts.
Suitable for patients with symptomatic simple unilocular liver cysts where laparoscopic deroofing is not preferred or not feasible, confirmed as benign on pre-procedure tumour marker assessment.
How the Procedure Works
Pre-procedure Assessment
Tumour markers (CA 19-9, CEA) checked to exclude cystadenoma. CT or ultrasound confirms simple unilocular cyst suitable for percutaneous approach.
Image-Guided Access
Under CT or ultrasound guidance, fine needle advanced into the cyst. Complete aspiration of cyst fluid performed. Fluid sent for analysis.
Sclerosant Instillation
Absolute alcohol (95%) instilled into the cyst cavity — typically 25–50% of cyst volume — and left for 20 minutes to destroy the secreting epithelium.
Alcohol Aspiration
Alcohol completely aspirated. Catheter removed. Patient observed for 1–2 hours post-procedure.
Follow-up
Ultrasound at 6 weeks confirms cyst reduction. CT at 3 months assesses long-term response. Repeat procedure if partial response.
Outcomes
Who Needs This Treatment?
- →No surgical incisions — entirely image-guided percutaneous procedure
- →Day procedure under local anaesthesia — no general anaesthesia required
- →70–80% success rate for simple unilocular liver cysts
- →Repeatable if partial response at first treatment session
Percutaneous aspiration with sclerotherapy offers patients with simple liver cysts a non-surgical route to symptom relief — an outpatient procedure with good success rates in carefully selected cases.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Percutaneous Aspiration with Sclerotherapy Cost for Liver Cysts in Hyderabad
The cost of Percutaneous Aspiration with Sclerotherapy for Liver Cysts in Hyderabad depends on factors such as the size and type of cyst, symptoms, imaging requirements, procedure complexity, and follow-up care.
For patients with simple symptomatic liver cysts requiring drainage and sclerotherapy, the approximate cost of Percutaneous Aspiration with Sclerotherapy ranges between ₹30,000 and ₹70,000.
| Procedure | Approximate Cost Range |
|---|---|
| Percutaneous Aspiration with Sclerotherapy | ₹30,000 – ₹70,000 |
The final cost may vary depending on your individual condition, cyst characteristics, imaging guidance required, hospital care, and follow-up requirements.
Factors That Influence Percutaneous Aspiration Cost
The overall cost may depend on:
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Size and nature of liver cyst: The size, location, and characteristics of the cyst can influence treatment planning.
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Diagnostic evaluation: Ultrasound, CT scan, MRI, blood tests, and other medical assessments may contribute to the overall cost.
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Procedure requirements: Image-guided aspiration, sclerotherapy agent used, observation, and post-procedure monitoring can affect the final estimate.
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Follow-up care: Repeat imaging, monitoring of cyst recurrence, and consultations may influence the overall treatment cost.
Is Percutaneous Aspiration with Sclerotherapy Covered by Insurance?
Percutaneous Aspiration with Sclerotherapy performed for a medically necessary symptomatic liver cyst may be covered by health insurance. Coverage depends on your insurance policy, inclusions, and insurer approval process.
Our insurance support team can assist you with checking policy coverage, required documentation, cashless approval process, and insurance-related queries.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Tagore Mohan Grandhi, Bariatric & GI Surgeon at Lux Hospitals, will evaluate your symptoms, imaging findings, and liver cyst characteristics to determine whether this treatment is suitable for you. He will explain the procedure, expected outcomes, and provide an estimated cost based on your individual condition and treatment requirements.
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