Feasibility of laparoscopic liver resection for liver cavernous hemangioma: A single-institutional comparative study

Younghuen Shin; Jinsoo Rhu; Gyu-Seong Choi; Jong Man Kim; Jae-Won Joh; Choon Hyuck David Kwon

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자료유형: 학술저널

저자정보: Younghuen Shin (Sungkyunkwan University School of Medicine) Jinsoo Rhu (Sungkyunkwan University School of Medicine) Gyu-Seong Choi (Sungkyunkwan University School of Medicine) Jong Man Kim (Sungkyunkwan University School of Medicine) Jae-Won Joh (Sungkyunkwan University School of Medicine) Choon Hyuck David Kwon (Sungkyunkwan University School of Medicine)

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제24권 제2호

발행연도: 2020.5

수록면: 137 - 143 (7page)

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Backgrounds/Aims: While minimal invasive surgery has become popular, the feasibility of laparoscopy for liver cavernous hemangioma has not been shown. Methods: Patients who underwent hepatectomy for liver cavernous hemangioma from January 2008 to February 2019 at the Samsung Medical Center were reviewed. Patients who underwent trisectionectomy were excluded. Background characteristics, along with operative and postoperative recovery, were compared between the laparoscopy and open surgery groups. Results: Forty-three patients in the laparoscopy group and 33 patients in the open surgery group were compared. The differences in the background characteristics were presence of symptoms (14.6% in laparoscopy vs. 57.1% in open, p＜0.001) and tumor location (right, left and both side p=0.017). The laparoscopy group had smaller blood loss (p=0.001), lesser blood transfusion requirements (p=0.035), lower level of post-operative total bilirubin, prothrombin time (INR) (p=0.001, 0.003 each), shorter hospital stay (p=0.001), earlier soft diet start (p＜0.001), earlier drain removal (p＜0.001) and shorter amount and duration of additional pain control (p=0.001, p=0.017 each). There was no significant difference in complication after surgery between two groups (p=0.721). All the patients showed pathologic report of benign hemangioma regardless of type of surgery (100%). Almost every patients reported no symptom or relief of symptom in both groups (97.7%, 93.9% each). Conclusions: Laparoscopic liver resection for liver cavernous hemangioma can be safely performed with improved postoperative recovery. However, surgery for liver cavernous hemangioma should be conducted with informed consent of the patients.

#Hemangioma #Laparoscopy #Laparoscopic liver resection #Cavernous hemangioma

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