Laparoscopic liver resection in Treatment for Hepatic Hemangioma: A Clinical Analysis of 78 Cases_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 HUANGDeng ,  ZHENGShu-guo , LIJian-wei , CHENJian , FANYu-dong , GUOPeng , WANGXiao-jun.

Institute of Hepatobiliary Surgery, Southwest Hospital, The Third Military Medical University, Chongqing 400038, China;

Corresponding author：

ZHENGShu-guo, Email: shuguozh@163.com

Keywords：

Hepatic hemangioma; Laparoscope; Liver resection

DOI：

10.7507/1007-9424.20160042

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate indications,technical points,and outcomes of laparoscopic liver resection in treatment for hepatic hemangioma. Method The clinical data of 78 patients with hepatic hemangioma underwent laparoscopic liver resection in our institute from January 2014 to December 2014 were analyzed retrospectively. Results Seventy-seven patients were underwent laparoscopic liver resection successfully,1 patient was conversed to open procedure.Operation method:laparoscopic anatomical liver resections were performed in 35 patients including 23 patients with left lateral segmentectomy,4 patients with left hemihepatectomy,3 patients with right hemihepatectomy,1 patient with Ⅲ segmentectomy,1 patient with Ⅵ segmentectomy,2 patients with Ⅵ and Ⅶ segmentectomy,1 patient with left lateral segmentectomy combined with Ⅵ and Ⅶ segmentectomy.Laparoscopic non-anatomical liver resection were performed in 43 patients.The operation time was (163.6 ±62.3) min,the intraoperative blood loss was (273.6±282.4) mL.No operative death occurred.One patient with postoperative functional bowel obstruction and 3 patients with pleural effusion had been recorded.All the patients recovered well.The postoperative hospital stay was (7.2±2.5) d.The results of postoperative pathology confirmed that all the tumors were hepatic cavernous hemangiomas. Conclusions Laparoscopic liver resection for hepatic cavernous hemangioma is a safe and feasible method with small trauma,rapid recovery,cosmetic incision.Key of this technology is to strictly select surgical indications,to transect liver parenchyma along right plane,effective control of hepatic blood inflow,and properly management of cutting surface of liver.

Citation： HUANGDeng, ZHENGShu-guo, LIJian-wei, CHENJian, FANYu-dong, GUOPeng, WANGXiao-jun.. Laparoscopic liver resection in Treatment for Hepatic Hemangioma: A Clinical Analysis of 78 Cases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(2): 156-159. doi: 10.7507/1007-9424.20160042 Copy

1.	Pulvirenti E, Toro A, Di Carlo I. An update on indications for treat-ment of solid hepatic neoplasms in noncirrhotic liver. Future Oncol, 2010, 6(8):1243-1250.
2.	邹华, 马宽生. 射频消融治疗肝血管瘤的现状. 临床肝胆病杂志, 2013, 29(8):567-569.
3.	李帅, 张东, 侯元凯, 等. 射频消融治疗肝血管瘤的临床疗效分析. 肝胆胰外科杂志, 2015, 27(1):44-47.
4.	王世平, 宋超, 陈雪松, 等. 肝动脉栓塞治疗肝血管瘤病人51例疗效分析. 昆明医学院学报, 2011, 32(1):115-119.
5.	Meguro M, Soejima Y, Taketomi A, et al. Living donor liver trans-plantation in a patient with giant hepatic hemangioma complicated by Kasabach-Merritt syndrome:report of a case. Surg Today, 2008, 38(5):463-468.
6.	郑亚民, 王悦华, 刘东斌, 等. 肝血管瘤的介入栓塞与手术切除疗效比较. 中国现代普通外科进展, 2013, 16(1):23-26.
7.	张小昭, 王彦超, 连文波, 等. 外科手术与肝动脉介入栓塞治疗肝血管瘤临床分析. 中华实用诊断与治疗杂志, 2015, 29(9):875-876.
8.	王东. 腹腔镜手术与开放手术治疗肝血管瘤疗效比较. 中国基层医药, 2013, 20(12):1839-1841.
9.	邹勇. 腹腔镜手术与开腹手术治疗肝血管瘤的疗效对比分析. 实用心脑肺血管病杂志, 2013, 21(11):94-95.
10.	Yu HB, Dong YD, Wang LC, et al. Laparoscopic versus open resec-tion for liver cavernous hemangioma:a single center of 2-Year expe-rience. Surg Laparosc Endosc Percutan Tech, 2015, 25(5):E145-E147.
11.	郑树国. 腹腔镜肝切除术的应用与指征. 肝胆外科杂志, 2010, 18(6):484-487.
12.	Toro A, Gagner M, Di Carlo I. Has laparoscopy increased surgical indications for benign tumors of the liver? Langenbecks Arch Surg, 2013, 398(2):195-210.
13.	Liu L, Li N. Feasibility and advantages of large liver hemangioma treated with laparoscopic microwave ablation. Hepatogastroentero-logy, 2014, 61(132):1068-1073.
14.	Li M, Zhang C, Zhang T, et al. Outcome using selective hemihepatic vascular occlusion and Pringle maneuver for hepatic resection of liver cavernous hemangioma. World J Surg Oncol, 2015, 13:267.

1. Pulvirenti E, Toro A, Di Carlo I. An update on indications for treat-ment of solid hepatic neoplasms in noncirrhotic liver. Future Oncol, 2010, 6(8):1243-1250.
2. 邹华, 马宽生. 射频消融治疗肝血管瘤的现状. 临床肝胆病杂志, 2013, 29(8):567-569.
3. 李帅, 张东, 侯元凯, 等. 射频消融治疗肝血管瘤的临床疗效分析. 肝胆胰外科杂志, 2015, 27(1):44-47.
4. 王世平, 宋超, 陈雪松, 等. 肝动脉栓塞治疗肝血管瘤病人51例疗效分析. 昆明医学院学报, 2011, 32(1):115-119.
5. Meguro M, Soejima Y, Taketomi A, et al. Living donor liver trans-plantation in a patient with giant hepatic hemangioma complicated by Kasabach-Merritt syndrome:report of a case. Surg Today, 2008, 38(5):463-468.
6. 郑亚民, 王悦华, 刘东斌, 等. 肝血管瘤的介入栓塞与手术切除疗效比较. 中国现代普通外科进展, 2013, 16(1):23-26.
7. 张小昭, 王彦超, 连文波, 等. 外科手术与肝动脉介入栓塞治疗肝血管瘤临床分析. 中华实用诊断与治疗杂志, 2015, 29(9):875-876.
8. 王东. 腹腔镜手术与开放手术治疗肝血管瘤疗效比较. 中国基层医药, 2013, 20(12):1839-1841.
9. 邹勇. 腹腔镜手术与开腹手术治疗肝血管瘤的疗效对比分析. 实用心脑肺血管病杂志, 2013, 21(11):94-95.
10. Yu HB, Dong YD, Wang LC, et al. Laparoscopic versus open resec-tion for liver cavernous hemangioma:a single center of 2-Year expe-rience. Surg Laparosc Endosc Percutan Tech, 2015, 25(5):E145-E147.
11. 郑树国. 腹腔镜肝切除术的应用与指征. 肝胆外科杂志, 2010, 18(6):484-487.
12. Toro A, Gagner M, Di Carlo I. Has laparoscopy increased surgical indications for benign tumors of the liver? Langenbecks Arch Surg, 2013, 398(2):195-210.
13. Liu L, Li N. Feasibility and advantages of large liver hemangioma treated with laparoscopic microwave ablation. Hepatogastroentero-logy, 2014, 61(132):1068-1073.
14. Li M, Zhang C, Zhang T, et al. Outcome using selective hemihepatic vascular occlusion and Pringle maneuver for hepatic resection of liver cavernous hemangioma. World J Surg Oncol, 2015, 13:267.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Laparoscopic liver resection in Treatment for Hepatic Hemangioma: A Clinical Analysis of 78 Cases

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content