Surgical indication and strategy for liver hemangioma in the caudate lobe: a multi-institutional retrospective analysis with 137 patients
| Autor: | Tai Ren, Cong Yun Huang, Xu-An Wang, Xiao Ming Ma, Ying Bin Liu, Xu Heng Sun, Yongsheng Li, Wei Long Cai, Shu You Peng |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Liver hemangioma Nausea Surgical approach lcsh:Surgery Blood Loss Surgical lcsh:RC254-282 Asymptomatic Caudate lobe hemangioma Hemangioma 03 medical and health sciences Caudate lobe Postoperative Complications 0302 clinical medicine Surgical oncology medicine Retrospective analysis Hepatectomy Humans Aged Retrospective Studies business.industry Research Liver Neoplasms lcsh:RD1-811 Middle Aged lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Prognosis medicine.disease Tumor Burden Surgery Indication Oncology 030220 oncology & carcinogenesis Liver Hemangioma Vomiting Female 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | World Journal of Surgical Oncology World Journal of Surgical Oncology, Vol 18, Iss 1, Pp 1-9 (2020) |
| ISSN: | 1477-7819 |
| DOI: | 10.1186/s12957-020-01901-z |
| Popis: | Objective To investigate the surgical indication and tactics for liver hemangioma in the caudate lobe Methods From January 1994 to July 2019, 137 patients, including 51 males and 86 females with the average age of 49.2 years old were diagnosed with liver hemangioma in caudate lobe and received treatment at five tertiary referral hospitals. Clinical features, correlations between tumor size and clinical manifestations, treatments, and prognosis were analyzed. Results Of the 137 patients identified, 40 (29.20%) patients were asymptomatic, whereas other 94 patients had clinical symptoms mainly presented as upper abdominal discomfort, epigastric distention, upper abdominal dull pain, nausea, and vomiting. Fifteen (93.75%), 18 (39.13%), and 7 (10.45%) patients presented no clinical symptoms among those tumor size was less than 3 cm (D ≤ 3 cm, n = 16), 3 cm n = 46), and 6 cm n = 67), respectively, while all 8 patients with tumor larger than 9 cm were symptomatic. Tumor diameter was obviously associated with the presence of clinical symptoms. In follow-up period, 7 patients in the conservative group (n = 39) received surgery because of tumor growth or symptom appearance. Totally 105 patients received operation including partial resection or isolated complete resection of caudate lobe and caudate lobe resection combined with liver segment resection, right liver resection, or left liver resection. All operations went smoothly, and no severe complications appeared. Conclusion Tumor diameter was obviously associated with the presence of clinical symptoms in patients with hemangioma in caudate lobe. Surgical therapy is not recommended for asymptomatic patients and available for patient who has symptoms. Effective surgical strategies should be put into use to reduce operative bleeding. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink