한국간담췌외과학회지 (Annals of Hepato-Biliary-Pancreatic Surgery)

  • 제27권3호
  • /
  • Pages.258-263
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  • 2023
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  • 2508-5778(pISSN)
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  • 2508-5859(eISSN)
한국간담췌외과학회 (The Korean Association of Hepato-Biliary-Pancreatic Surgery)
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Surgery for symptomatic hepatic hemangioma: Resection vs. enucleation, an experience over two decades

  • Nalini Kanta Ghosh (Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences) ;
  • Rahul R (Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences) ;
  • Ashish Singh (Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences) ;
  • Somanath Malage (Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences) ;
  • Supriya Sharma (Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences) ;
  • Ashok Kumar (Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences) ;
  • Rajneesh Kumar Singh (Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences) ;
  • Anu Behari (Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences) ;
  • Ashok Kumar (Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences) ;
  • Rajan Saxena (Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences)
  • 투고 : 2022.12.13
  • 심사 : 2023.03.03
  • 발행 : 2023.08.31
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초록

Backgrounds/Aims: Hemangiomas are the most common benign liver lesions; however, they are usually asymptomatic and seldom require surgery. Enucleation and resection are the most commonly performed surgical procedures for symptomatic lesions. This study aims to compare the outcomes of these two surgical techniques. Methods: A retrospective analysis of symptomatic hepatic hemangiomas (HH) operated upon between 2000 and 2021. Patients were categorized into the enucleation and resection groups. Demographic profile, intraoperative bleeding, and morbidity (Clavien-Dindo Grade) were compared. Independent t-test and chi-square tests were used for continuous and categorical variables respectively. p-value of < 0.05 was considered significant. Results: Sixteen symptomatic HH patients aged 30 to 66 years underwent surgery (enucleation = 8, resection = 8) and majority were females (n = 10 [62.5%]). Fifteen patients presented with abdominal pain, and one patient had an interval increase in the size of the lesion from 9 to 12 cm. The size of hemangiomas varied from 6 to 23 cm. The median blood loss (enucleation: 350 vs. resection: 600 mL), operative time (enucleation: 5.8 vs. resection: 7.5 hours), and postoperative hospital stay (enucleation: 6.5 vs. resection: 11 days) were greater in the resection group (statistically insignificant). In the resection group, morbidity was significantly higher (62.6% vs. 12.5%, p = 0.05), including one mortality. All patients remained asymptomatic during the follow-up. Conclusions: Enucleation was simpler with less morbidity as compared to resection in our series. However, considering the small number of patients, further studies are needed with comparable groups to confirm the superiority of enucleation over resection.

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참고문헌

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