Faculty Collaboration Database

Hepatectomy for hemangioma; safe, but is it successful? Hepatogastroenterology 2014 Oct;61(135):2009-13

Date

02/26/2015

Pubmed ID

25713903

Scopus ID

2-s2.0-84928761861 (requires institutional sign-in at Scopus site)   3 Citations

Abstract

BACKGROUND/AIMS: Large hepatic hemangiomata may give rise to abdominal discomfort, prompting consultation with a hepatobiliary surgeon. The effectiveness of liver resection to treat such symptoms has varied in previously published reports. We sought to examine outcomes related to resection of hepatic hemangioma at a high-volume HPB center.

METHODOLOGY: Consecutive patients between 1995-2011 undergoing resection for a hepatic hemangioma were identified. Demographic, operative, imaging, and complication-related data were collected.

RESULTS: Fifty-four patients (41 female, 76%) underwent liver resection for hemangioma. Median age was 48 years (range: 25-80), and median lesion size was 8.0 cm (range: 1.6-25). Indications for resection included pain (28 patients, 52%), increasing size (9, 17%), patient anxiety (5, 9%), and inability to exclude malignancy (12, 22%). There were no perioperative deaths, and 16 patients (30%) had Clavien grade ≥II complications. Of the 28 patients with preoperative pain, 8 (28%) continued to report similar abdominal discomfort at a median follow-up of 10 months.

CONCLUSIONS: Liver resection for hemangiomata can be performed safely, albeit with significant morbidity. The majority of patients,but not all, have pain relief following hepatic resection.A cautious approach should be taken when evaluating patients for hemangioma resection.

Author List

Groeschl RT, Riggle KM, Quebbeman EJ, Christians KK, Turaga KK, Tsai S, Gamblin TC

Authors

Kathleen K. Christians MD Professor in the Surgery department at Medical College of Wisconsin
Thomas Clark Gamblin MD Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Abdominal Pain
Adult
Aged
Aged, 80 and over
Female
Hemangioma
Hepatectomy
Hospitals, High-Volume
Humans
Liver Neoplasms
Male
Middle Aged
Pain, Postoperative
Retrospective Studies
Risk Factors
Tertiary Care Centers
Time Factors
Treatment Outcome
Wisconsin