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Hoffmann K, Unsinn M, Hinz U, Weiss KH, Waldburger N, Longerich T, Radeleff B, Schirmacher P, Büchler MW, Schemmer P. Outcome after a liver resection of benign lesions. HPB (Oxford) 2015; 17:994-1000. [PMID: 26456947 PMCID: PMC4605338 DOI: 10.1111/hpb.12496] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2015] [Accepted: 07/08/2015] [Indexed: 12/12/2022]
Abstract
BACKGROUND Benign liver tumours represent a challenge in clinical management. There is considerable controversy with respect to the indications for surgery as the evidence for surgical treatment is variable. The aim of this retrospective study was to analyse the indication and outcome after resection of benign, solid liver lesions. METHODS Data of 79 patients, who underwent liver resection between 2001 and 2012, were analysed for demographic and outcome parameters. RESULTS Thirty-eight patients with focal nodular hyperplasia (48%), 23 patients with haemangioma (29%) and 18 patients with hepatocellular adenoma (23%) underwent a hepatic resection. A major hepatic resection was performed in 23 patients (29%) and a minor resection in 56 patients (71%). The post-operative mortality rate was zero and the 30-day morbidity rate 13.9%. After a median follow-up of 64 months, 75 patients (95%) were alive, and no patient had developed recurrent disease. Fifty-four patients (68%) were pre-operatively symptomatic, of which, 87% had complete or partial relief of symptoms after a liver resection. The incidence of symptoms increased with the lesions' size. DISCUSSION The management of benign liver lesions necessitates an individualized therapy within a multidisciplinary, evidence-based, treatment algorithm. Resection of benign liver lesions can be performed safely in well-selected patients without mortality and low post-operative morbidity.
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Affiliation(s)
- Katrin Hoffmann
- Department of General and Transplant Surgery, University Hospital HeidelbergHeidelberg, Germany,Internal Medicine IV, University Hospital HeidelbergHeidelberg, Germany
| | - Michael Unsinn
- Department of General and Transplant Surgery, University Hospital HeidelbergHeidelberg, Germany,Internal Medicine IV, University Hospital HeidelbergHeidelberg, Germany
| | - Ulf Hinz
- Department of General and Transplant Surgery, University Hospital HeidelbergHeidelberg, Germany
| | - Karl Heinz Weiss
- Internal Medicine IV, University Hospital HeidelbergHeidelberg, Germany,Department of Radiology, University Hospital HeidelbergHeidelberg, Germany
| | - Nina Waldburger
- Internal Medicine IV, University Hospital HeidelbergHeidelberg, Germany,Institute of Pathology, University Hospital HeidelbergHeidelberg, Germany
| | - Thomas Longerich
- Internal Medicine IV, University Hospital HeidelbergHeidelberg, Germany,Institute of Pathology, University Hospital HeidelbergHeidelberg, Germany
| | - Boris Radeleff
- Internal Medicine IV, University Hospital HeidelbergHeidelberg, Germany,Liver Cancer Center Heidelberg, University Hospital HeidelbergHeidelberg, Germany
| | - Peter Schirmacher
- Internal Medicine IV, University Hospital HeidelbergHeidelberg, Germany,Institute of Pathology, University Hospital HeidelbergHeidelberg, Germany
| | - Markus W Büchler
- Department of General and Transplant Surgery, University Hospital HeidelbergHeidelberg, Germany,Internal Medicine IV, University Hospital HeidelbergHeidelberg, Germany
| | - Peter Schemmer
- Department of General and Transplant Surgery, University Hospital HeidelbergHeidelberg, Germany,Internal Medicine IV, University Hospital HeidelbergHeidelberg, Germany
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The LiverSurgeryTrainer: training of computer-based planning in liver resection surgery. Int J Comput Assist Radiol Surg 2013; 8:809-18. [DOI: 10.1007/s11548-013-0812-z] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2012] [Accepted: 01/07/2013] [Indexed: 11/26/2022]
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