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：

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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.	鄒華, 馬寬生. 射頻消融治療肝血管瘤的現狀. 臨床肝膽病雜志, 2013, 29(8):567-569.
3.	李帥, 張東, 侯元凱, 等. 射頻消融治療肝血管瘤的臨床療效分析. 肝膽胰外科雜志, 2015, 27(1):44-47.
4.	王世平, 宋超, 陳雪松, 等. 肝動脈栓塞治療肝血管瘤病人51例療效分析. 昆明醫學院學報, 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.	鄭亞民, 王悅華, 劉東斌, 等. 肝血管瘤的介入栓塞與手術切除療效比較. 中國現代普通外科進展, 2013, 16(1):23-26.
7.	張小昭, 王彥超, 連文波, 等. 外科手術與肝動脈介入栓塞治療肝血管瘤臨床分析. 中華實用診斷與治療雜志, 2015, 29(9):875-876.
8.	王東. 腹腔鏡手術與開放手術治療肝血管瘤療效比較. 中國基層醫藥, 2013, 20(12):1839-1841.
9.	鄒勇. 腹腔鏡手術與開腹手術治療肝血管瘤的療效對比分析. 實用心腦肺血管病雜志, 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.	鄭樹國. 腹腔鏡肝切除術的應用與指征. 肝膽外科雜志, 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. 鄒華, 馬寬生. 射頻消融治療肝血管瘤的現狀. 臨床肝膽病雜志, 2013, 29(8):567-569.
3. 李帥, 張東, 侯元凱, 等. 射頻消融治療肝血管瘤的臨床療效分析. 肝膽胰外科雜志, 2015, 27(1):44-47.
4. 王世平, 宋超, 陳雪松, 等. 肝動脈栓塞治療肝血管瘤病人51例療效分析. 昆明醫學院學報, 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. 鄭亞民, 王悅華, 劉東斌, 等. 肝血管瘤的介入栓塞與手術切除療效比較. 中國現代普通外科進展, 2013, 16(1):23-26.
7. 張小昭, 王彥超, 連文波, 等. 外科手術與肝動脈介入栓塞治療肝血管瘤臨床分析. 中華實用診斷與治療雜志, 2015, 29(9):875-876.
8. 王東. 腹腔鏡手術與開放手術治療肝血管瘤療效比較. 中國基層醫藥, 2013, 20(12):1839-1841.
9. 鄒勇. 腹腔鏡手術與開腹手術治療肝血管瘤的療效對比分析. 實用心腦肺血管病雜志, 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. 鄭樹國. 腹腔鏡肝切除術的應用與指征. 肝膽外科雜志, 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

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