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CC BY 4.0 · Surg J (N Y) 2019; 05(03): e110-e112
DOI: 10.1055/s-0039-1698520
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Totally Laparoscopic Resection of an Extremely Giant Hepatic Hemangioma

Fadl H. Veerankutty 
1   Department of Hepatobiliary Pancreatic and Liver Transplant Surgery, Kerala Institute of Medical Sciences, Trivandrum, Kerala, India
,
Shiraz Ahmad Rather
1   Department of Hepatobiliary Pancreatic and Liver Transplant Surgery, Kerala Institute of Medical Sciences, Trivandrum, Kerala, India
,
Varghese Yeldho
1   Department of Hepatobiliary Pancreatic and Liver Transplant Surgery, Kerala Institute of Medical Sciences, Trivandrum, Kerala, India
,
Bincy M. Zacharia
1   Department of Hepatobiliary Pancreatic and Liver Transplant Surgery, Kerala Institute of Medical Sciences, Trivandrum, Kerala, India
,
Shabeer Ali TU
1   Department of Hepatobiliary Pancreatic and Liver Transplant Surgery, Kerala Institute of Medical Sciences, Trivandrum, Kerala, India
,
Venugopal B.
1   Department of Hepatobiliary Pancreatic and Liver Transplant Surgery, Kerala Institute of Medical Sciences, Trivandrum, Kerala, India
› Institutsangaben Funding The authors did not receive any financial support.
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Publikationsverlauf

25. August 2018

17. Juni 2019

Publikationsdatum:
21. September 2019 (online)

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Abstract

Risk of massive intraoperative hemorrhage and the difficulty to control it makes the laparoscopic treatment of giant hepatic hemangiomas (GH) a challenge for minimally invasive hepatobiliary surgeons. Symptomatic GHs of more than 20 cm (extremely giant hepatic hemangiomas) are typically treated with an open resection. There is a paucity of literature on laparoscopic resection of extremely giant hepatic hemangiomas. We describe (with video), here, the technical nuances of pure laparoscopic resection of an extremely giant hepatic hemangioma using modified port positions and the anterior approach.

Keywords

liver hemangioma - laparoscopic liver resection - laparoscopic anterior approach - preoperative embolization - anatomical liver resection - pure laparoscopic hepatectomy
 

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