Surgical treatment of giant haemangioma of the liver

Autor: Brouwers, M.A.M., Peeters, PMJG, de Jong, KP, Haagsma, EB, Klompmaker, IJ, Bijleveld, CMA, Zwaveling, JH, Slooff, MJH
Přispěvatelé: Groningen Institute for Organ Transplantation (GIOT), Guided Treatment in Optimal Selected Cancer Patients (GUTS)
Rok vydání: 1997
Předmět:
Zdroj: British Journal of Surgery, 84(3), 314-316. Wiley
ISSN: 1365-2168
0007-1323
Popis: Background The treatment of giant symptomatic haemangioma of the liver is still controversial. This retrospective study reviewed the results of surgical treatment. Methods Twenty-eight patients with symptomatic giant haemangioma of the liver were treated by liver resection (n = 24) or liver transplantation (n = 4). The median diameter of the haemangiomas was 11 (range 5-20) cm. Results Complications occurred in five of the 24 patients treated by partial liver resection, although all survived and remain alive and well more than 2 years after surgery. In six patients there was residual haemangioma in the liver remnant which did not enlarge during the 2-year follow-up. In four patients the haemangioma was considered irresectable and liver transplantation was performed. One died after a 'two-stage' liver transplantation; the remaining three patients are alive and well, 1, 4 and 9 years after transplantation. Conclusion Liver resection is the treatment of choice for giant haemangioma of the liver where possible. In selected cases liver transplantation is indicated.
Databáze: OpenAIRE
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