LAPAROSCOPIC LIVER RESECTION FOR BENIGN TUMORS: THE CURRENT POSITION

被引:2
|
作者
Herman, Paulo [1 ]
Fonseca, Gilton Marques [1 ]
Kruger, Jaime Arthur Pirola [1 ]
Jeismann, Vagner Birk [1 ]
Coelho, Fabricio Ferreira [1 ]
机构
[1] Univ Sao Paulo, Sch Med, Dept Gastroenterol, Liver Surg Unit,Hosp Clin, Sao Paulo, SP, Brazil
关键词
Laparoscopy; Adenoma; Liver Cell; Cystadenoma; Focal nodular hyperplasia; Angiomyolipoma; Hemangioma; HEPATOCELLULAR ADENOMA; MOLECULAR CLASSIFICATION; MANAGEMENT; EXPERIENCE; LESIONS;
D O I
10.1590/0102-672020210002e1641
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
BACKGROUND: The main indications of the use of laparoscopic liver surgery (LLS), in the early days, were benign liver lesions. As LLS became more popular, indications for malignant diseases outnumbered those for benign ones. This study aims to rule out the indications and results of LLS for the treatment of benign liver tumors. METHODS: Out of 445 LLS performed in a single center, 100 (22.4%) were for benign tumors. The authors discuss the indications for resection and present their perioperative results. RESULTS: In total, 100 patients with benign tumors were evaluated. Specifically, these were as follows: 66 cases of hepatocellular adenomas; 14 cases of biliary mucinous neoplasm; 13 cases of focal nodular hyperplasia; 4 cases of angiomyolipomas; and 3 cases of hemangiomas with a mean size of 7.6 cm (ranging from 3.1 to 19.6 cm). The total morbidity rate was 19%, with 9% classified as Clavien-Dindo grades 3 or 4. No mortality was observed. CONCLUSION: LLS for benign liver tumors is safe and presents excellent results. However, indications for resection are increasingly restricted and should not be performed just because it is a minimally invasive procedure.
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页数:6
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