The laparoscopic surgical experience of giant hemangioma of the caudate lobe of the liver

Abstract

Objective To explore the laparoscopic surgical experience of giant hemangioma of the caudate lobe of the liver. Methods The clinical information of patients with giant hemangioma of the caudate lobe of the liver who underwent laparoscopic resection in The Second Affiliated Hospital of Nanchang University from May 2016 to May 2019 were retrospectively analyzed.SPSS20. 0 statistical software was used to calculate the average value of the tumor size, intraoperative blood loss, operation time, etc.The patients were followed up by abdominal ultrasonography to understand the liver condition. Results All patients completed laparoscopic hepatic caudate lobectomy successfully.The tumor size was 10-15 cm, with an average of (12±2)cm.The intraoperative blood loss was 60-160 ml, with an average of(99 ± 34) ml.The operation time was 160-250 minutes, with an average of ( 201±29 ) minutes.The duration of hospital day was 7-13 days, with an average of 9 days.Postoperative patients showed alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were higher compared with the baseline levels in the first few days, and recovered quickly after liver protection treatment.No serious complications such as hemorrhage, biliary fistula and liver failure occurred.All patients survived without recurrence and still during follow-up. Conclusions Adequate assessment of the patient′s general condition before surgery, careful operative and good exposure during the operation are the basis for laparoscopic hepatic caudate lobectomy. Key words: Laparoscopy; Hepatic caudate lobe; Hepatic hemangioma; Hepatectomy