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