Response to “Revisiting the Surgical Management of Giant Hepatic Hemangiomas: Enucleation Versus Anatomical Resection?” by Rajakannu et al.

Abstract

We read with great interest the paper by Rajakannu et al1Rajakannu M. Pascal G. Castaing D. et al.Revisiting the surgical management of giant hepatic hemangiomas: enucleation versus anatomical resection?.J Clin Exp Hepatol. 2021 May-Jun; 11 (Epub 2020 Oct 2. PMID: 33994715; PMCID: PMC8103325): 321-326https://doi.org/10.1016/j.jceh.2020.09.008Google Scholar entitled “Revisiting the Surgical Management of Giant Hepatic Hemangiomas: Enucleation Versus Anatomical Resection?” We felt the need to bring the following points to your attention:1The authors stated that “Enucleation (EN) described by Baer et al9 in 1992 is considered the standard technique of resection”. The first paper in the international literature on the use of enucleation for the treatment of liver hemangiomas is from the Istanbul Faculty of Medicine; it is dated 1988.2Alper A. Ariogul O. Emre A. Uras A. Okten A. Treatment of liver hemangiomas by enucleation.Arch Surg. 1988 May; 123 (PMID: 3358693): 660-661https://doi.org/10.1001/archsurg.1988.01400290146027Google Scholar Long-term results have also been published.3Ozden I. Emre A. Alper A. et al.Long-term results of surgery for liver hemangiomas.Arch Surg. 2000 Aug; 135 (PMID: 10922262): 978-981https://doi.org/10.1001/archsurg.135.8.978Google Scholar2The authors cited our work2Alper A. Ariogul O. Emre A. Uras A. Okten A. Treatment of liver hemangiomas by enucleation.Arch Surg. 1988 May; 123 (PMID: 3358693): 660-661https://doi.org/10.1001/archsurg.1988.01400290146027Google Scholar (reference 15), but possibly due to a misprint, quoted the publication date as 1998 instead of 1988. Sincerely, İlgin Özden: Conceptualization, Writing – original draft, Writing – review & editing. Aydın Alper: Conceptualization, Writing – original draft, Writing – review & editing. The authors have none to declare. Revisiting the Surgical Management of Giant Hepatic Hemangiomas: Enucleation Versus Anatomical Resection?Journal of Clinical and Experimental HepatologyVol. 11Issue 3PreviewResection is rarely indicated in giant hepatic hemangiomas (HHs) that are symptomatic. Enucleation (EN), compared with anatomical resection (AR), is considered the better technique to resect them as EN has been reported to have lower morbidity while conserving the normal liver tissue. But no study has yet clearly established the superiority of EN over AR. In addition, the independent predictors of postoperative morbidity have not been established. Full-Text PDF