Extended liver resection including hypertrophy concept with portal venous embolisation for giant haemangioma. Too much surgery?

Autor:	Strohmaier A; Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Asklepios Hospital Barmbek, Hamburg, Germany.; Semmelweis University of Medicine, Asklepios Campus Hamburg, Hamburg, Germany., Wagner KC; Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Asklepios Hospital Barmbek, Hamburg, Germany.; Semmelweis University of Medicine, Asklepios Campus Hamburg, Hamburg, Germany., Reese T; Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Asklepios Hospital Barmbek, Hamburg, Germany.; Semmelweis University of Medicine, Asklepios Campus Hamburg, Hamburg, Germany., Fard-Aghaie M; Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Asklepios Hospital Barmbek, Hamburg, Germany.; Semmelweis University of Medicine, Asklepios Campus Hamburg, Hamburg, Germany., Makridis G; Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Asklepios Hospital Barmbek, Hamburg, Germany.; Semmelweis University of Medicine, Asklepios Campus Hamburg, Hamburg, Germany., Rittberg YV; Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Asklepios Hospital Barmbek, Hamburg, Germany.; Semmelweis University of Medicine, Asklepios Campus Hamburg, Hamburg, Germany., Horling K; MVZ Hanse Histologikum GmbH, Hamburg, Germany., Oldhafer KJ; Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Asklepios Hospital Barmbek, Hamburg, Germany.; Semmelweis University of Medicine, Asklepios Campus Hamburg, Hamburg, Germany.
Jazyk:	angličtina
Zdroj:	Annals of hepato-biliary-pancreatic surgery [Ann Hepatobiliary Pancreat Surg] 2020 Aug 31; Vol. 24 (3), pp. 357-361.
DOI:	10.14701/ahbps.2020.24.3.357
Abstrakt:	Haemangiomas of the liver are benign tumours, which are often diagnosed randomly. With an increase in size haemangiomas could become symptomatic. In this case therapeutic options, surgical or interventional, have to be weighted to a conservative approach. We present a case of a 36-year old woman with a symptomatic giant haemangioma of the right liver lobe. Because of the size of the tumor and the small future liver remnant we decided to perform a major liver resection after hypertrophy induction with a preoperative portal vein embolization; an option mainly used for major hepatectomies in malignant tumors of the liver. But however, this case shows, that using a hypertrophy concept also for benign liver tumours is the safer approach, if an extended resection is necessary and the future liver remnant is critical.
Databáze:	MEDLINE
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