Laparoscopic Resection of Giant Liver Hemangioma Using Laparoscopic Habib Probe for Parenchymal Transection

Srikanth Gadiyaram, MCh, Neel Shetty, DNB, Ganesh Shenoy, MS, Sunil Alur, DNB, Jagannath H, MS. Institute of Gastroenterology, BGS Global Hospitals, Bangalore

 

Background: Experience with laparoscopic liver resections is limited. Laparoscopic resection of a variety of liver lesions has been reported and is considered appropriate for lesions in the left lateral segment and inferior segments of right lobe. Herein, we report a 37-year-old male patient who underwent a laparoscopic resection of giant liver hemangioma with the use of laparoscopic 4X Habib probe.

Case Report: 37-year-old male patient presented with abdominal pain of 3 months duration. MDCT imaging revealed a giant hemangioma arising from the segments, 5 and 6 of liver with feeding artery from right anterior hepatic artery. He underwent a laparoscopic resection of the giant hemangioma. Surgery was performed in the following five steps. Step 1- Calot’s dissection. Step 2. Dissection of right hepatic artery(RHA) and occlusion of RHA with Bulldog clamp. Step 3- Developing enucleation plane in the medial aspect of the hemangioma. Step 4 – Liver parenchymal transection in a transverse plane cranial to the hemangioma with laparoscopic Habib probe (to minimize the transection surface). Step 5- Hemostasis and Specimen retrieval. Operative video demonstrating these steps is presented.


Session Number: Poster – Poster Presentations
Program Number: P357
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