Surgical indication and strategy for liver hemangioma in the caudate lobe: a multi-institutional retrospective analysis with 137 patients
Abstract Objective To investigate the surgical indication and tactics for liver hemangioma in the caudate lobe Methods From January 1994 to July 2019, 137 patients, including 51 males and 86 females with the average age of 49.2 years old were diagnosed with liver hemangioma in caudate lobe and recei...
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | World Journal of Surgical Oncology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12957-020-01901-z |
| _version_ | 1828485783220125696 |
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| author | Wei Long Cai Xiao Ming Ma Xu Heng Sun Tai Ren Cong Yun Huang Yong Sheng Li Xu An Wang Ying Bin Liu Shu You Peng |
| author_facet | Wei Long Cai Xiao Ming Ma Xu Heng Sun Tai Ren Cong Yun Huang Yong Sheng Li Xu An Wang Ying Bin Liu Shu You Peng |
| author_sort | Wei Long Cai |
| collection | DOAJ |
| description | Abstract Objective To investigate the surgical indication and tactics for liver hemangioma in the caudate lobe Methods From January 1994 to July 2019, 137 patients, including 51 males and 86 females with the average age of 49.2 years old were diagnosed with liver hemangioma in caudate lobe and received treatment at five tertiary referral hospitals. Clinical features, correlations between tumor size and clinical manifestations, treatments, and prognosis were analyzed. Results Of the 137 patients identified, 40 (29.20%) patients were asymptomatic, whereas other 94 patients had clinical symptoms mainly presented as upper abdominal discomfort, epigastric distention, upper abdominal dull pain, nausea, and vomiting. Fifteen (93.75%), 18 (39.13%), and 7 (10.45%) patients presented no clinical symptoms among those tumor size was less than 3 cm (D ≤ 3 cm, n = 16), 3 cm < D ≤ 6 cm (n = 46), and 6 cm < D ≤ 9 cm (n = 67), respectively, while all 8 patients with tumor larger than 9 cm were symptomatic. Tumor diameter was obviously associated with the presence of clinical symptoms. In follow-up period, 7 patients in the conservative group (n = 39) received surgery because of tumor growth or symptom appearance. Totally 105 patients received operation including partial resection or isolated complete resection of caudate lobe and caudate lobe resection combined with liver segment resection, right liver resection, or left liver resection. All operations went smoothly, and no severe complications appeared. Conclusion Tumor diameter was obviously associated with the presence of clinical symptoms in patients with hemangioma in caudate lobe. Surgical therapy is not recommended for asymptomatic patients and available for patient who has symptoms. Effective surgical strategies should be put into use to reduce operative bleeding. |
| first_indexed | 2024-12-11T09:19:58Z |
| format | Article |
| id | doaj.art-786d7c2fd82f43bd919293312e04ade1 |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-12-11T09:19:58Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-786d7c2fd82f43bd919293312e04ade12022-12-22T01:13:16ZengBMCWorld Journal of Surgical Oncology1477-78192020-06-011811910.1186/s12957-020-01901-zSurgical indication and strategy for liver hemangioma in the caudate lobe: a multi-institutional retrospective analysis with 137 patientsWei Long Cai0Xiao Ming Ma1Xu Heng Sun2Tai Ren3Cong Yun Huang4Yong Sheng Li5Xu An Wang6Ying Bin Liu7Shu You Peng8Huzhou Central Hospital, Affiliated Central Hospital of Huzhou UniversityDepartment of General Surgery, The second affiliated hospital of Soochow UniversityDepartment of General Surgery, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of MedicineDepartment of General Surgery, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of MedicineDepartment of General Surgery, Yuebei People’s Hospital Affiliated to Shantou University School of MedicineDepartment of General Surgery, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of MedicineDepartment of General Surgery, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of MedicineDepartment of General Surgery, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of MedicineDepartment of Hepatobiliary and Pancreatic Surgery, The Second Affiliated Hospital of Zhejiang University School of MedicineAbstract Objective To investigate the surgical indication and tactics for liver hemangioma in the caudate lobe Methods From January 1994 to July 2019, 137 patients, including 51 males and 86 females with the average age of 49.2 years old were diagnosed with liver hemangioma in caudate lobe and received treatment at five tertiary referral hospitals. Clinical features, correlations between tumor size and clinical manifestations, treatments, and prognosis were analyzed. Results Of the 137 patients identified, 40 (29.20%) patients were asymptomatic, whereas other 94 patients had clinical symptoms mainly presented as upper abdominal discomfort, epigastric distention, upper abdominal dull pain, nausea, and vomiting. Fifteen (93.75%), 18 (39.13%), and 7 (10.45%) patients presented no clinical symptoms among those tumor size was less than 3 cm (D ≤ 3 cm, n = 16), 3 cm < D ≤ 6 cm (n = 46), and 6 cm < D ≤ 9 cm (n = 67), respectively, while all 8 patients with tumor larger than 9 cm were symptomatic. Tumor diameter was obviously associated with the presence of clinical symptoms. In follow-up period, 7 patients in the conservative group (n = 39) received surgery because of tumor growth or symptom appearance. Totally 105 patients received operation including partial resection or isolated complete resection of caudate lobe and caudate lobe resection combined with liver segment resection, right liver resection, or left liver resection. All operations went smoothly, and no severe complications appeared. Conclusion Tumor diameter was obviously associated with the presence of clinical symptoms in patients with hemangioma in caudate lobe. Surgical therapy is not recommended for asymptomatic patients and available for patient who has symptoms. Effective surgical strategies should be put into use to reduce operative bleeding.http://link.springer.com/article/10.1186/s12957-020-01901-zCaudate lobeLiver hemangiomaIndicationSurgical approachCaudate lobe hemangioma |
| spellingShingle | Wei Long Cai Xiao Ming Ma Xu Heng Sun Tai Ren Cong Yun Huang Yong Sheng Li Xu An Wang Ying Bin Liu Shu You Peng Surgical indication and strategy for liver hemangioma in the caudate lobe: a multi-institutional retrospective analysis with 137 patients World Journal of Surgical Oncology Caudate lobe Liver hemangioma Indication Surgical approach Caudate lobe hemangioma |
| title | Surgical indication and strategy for liver hemangioma in the caudate lobe: a multi-institutional retrospective analysis with 137 patients |
| title_full | Surgical indication and strategy for liver hemangioma in the caudate lobe: a multi-institutional retrospective analysis with 137 patients |
| title_fullStr | Surgical indication and strategy for liver hemangioma in the caudate lobe: a multi-institutional retrospective analysis with 137 patients |
| title_full_unstemmed | Surgical indication and strategy for liver hemangioma in the caudate lobe: a multi-institutional retrospective analysis with 137 patients |
| title_short | Surgical indication and strategy for liver hemangioma in the caudate lobe: a multi-institutional retrospective analysis with 137 patients |
| title_sort | surgical indication and strategy for liver hemangioma in the caudate lobe a multi institutional retrospective analysis with 137 patients |
| topic | Caudate lobe Liver hemangioma Indication Surgical approach Caudate lobe hemangioma |
| url | http://link.springer.com/article/10.1186/s12957-020-01901-z |
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