| Title: |
Laparoscopic surgery for Liver Hemangioma (LH). |
| Authors: |
Nikolaev, Evgeni; Valcheva, M.; Terzi, V.; Kostov, D.; Mircheva, I. |
| Source: |
Surgical Chronicles; Apr-Jun2025, Vol. 30 Issue 2, p152-157, 6p |
| Subject Terms: |
Laparoscopic surgery; Hemangiomas; Treatment effectiveness; Blood loss estimation; Operative surgery; Cavernous hemangioma; Minimally invasive procedures |
| Abstract: |
Introduction: Laparoscopic liver surgery has rapidly progressed from an innovative, high-risk procedure to a reliable and safe approach for the treatment of benign and malignant liver diseases. This technique has the advantages over open surgery in terms of efficiency and minimal invasiveness, and is suitable for LH due to the lack of risk of tumor decimation. Aim: We present the experience of the Surgery Clinic at MBAL -- Varna at the Militaty Medical Academy in performing laparoscopic removal of LH and compare the results with those of open surgery. Materials and methods: The study included 101 patients with cavernous hemangioma radically operated in the Surgery Clinics of Militaty Medical Academy for the period 2010-2023. Out of a total of 101 operations, 71 (70.3%) were open, and 30 (29.7%) are laparoscopic. Results: A statistically significant relationship was found between the choice of open or laparoscopic surgery and the location of the hemangiomas. Open surgery was used for single hemangiomas with right localization (p = 0.002) and hemangiomas with bilateral localization (p = 0.016). Laparoscopic surgery was applied in left-sided hemangioma localization (p < 0.001). Operative time for open operations was statistically significantly greater than operative time for laparoscopic operations by an average of 47.19 minutes (p < 0.000). Blood loss in open operations was statistically significantly greater than blood loss in laparoscopic operations with an average of 83.48 ml (p < 0.000). Discussion: The resectability of giant hemangiomas using laparoscopic surgery is determined by exposure of the portal hilus and access to the vessels that feed the tumor. After the tumor vessels and corresponding portal triad are prepared and clamped, the tumor shrinks, facilitating the surgical procedure. Conclusion: Laparoscopic techniques both in the treatment of other diseases and in the treatment of hepatic hemangioma have an advantage over conventional surgery in terms of intraoperative blood loss, hospital stay, need for analgesia, recovery. [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |