Laparoscopic liver resection for hepatocellular adenoma

摘要: AIM: To investigate the role of laparoscopy in surgical management hepatocellular adenoma (HA). METHODS: We reviewed a prospectively collected database consecutive patients undergoing laparoscopic liver resection for HA. RESULTS: Thirteen underwent fifteen pure resections HA (male/female: 3/10; median age 42 years, range 22-72 years). Two with adenomatosis required two different operations ruptured adenomas. Indications surgery were: symptoms 12 cases, need to rule out malignancy 2 cases and preoperative diagnosis large one case. Symptoms were related bleeding 10 sepsis due abscess following embolization case mass effect (shoulder tip pain). Five emergency admission treatment selective arterial embolization. Laparoscopic was then semi-electively performed. Eight (62%) major hepatectomy [right (n = 5), left 3)]. No conversion open occurred. The operative time procedures 270 min (range 135-360 min). size excised lesions 85 mm 25-180 mm). One patient developed postoperative requiring Mortality nil. hospital stay 4 d 1-18 d) high dependency unit 1 0-7 d). CONCLUSION: approach represents safe option semi-elective setting when is required.