The application of single-incision laparoscopic surgery on the resection of hepatic hemangioma: initial experience and current update

Dianbo Yao, Shuodong Wu, Xiaopeng Yu, Ying Fan, Jing Kong, Yongsheng Chen. Department of Vascular and Bile Duct Surgery, Shengjing Hospital, China Medical University, Shenyang, China.

Single-incision laparoscopic surgery (SILS) is a recently developing minimally invasive surgery, associated much better cosmetic appearance, and may represent an improvement over conventional laparoscopic surgery. It has been applied in many surgical procedures. However, for the liver surgery, the experience was rather limited, including for benign liver tumor. Now, we will introduce our initial experience for the application of SILS on the resection of hepatic hemangioma.

The clinical records of 10 consecutive cases in which SILS was performed for the hepatic hemangioma at Shengjing hospital of China Medical University since June 2010 were retrospectively analyzed, and all the concerning literatures were retrospectively reviewed.

Among the 10 patients, 6 were female, and the other 4 patients were male. The age ranged from 31 to 60 years old, with the average of 49.4 years old, and the average of body mass index (BMI) is 22.66 (18.9~25.2). In the 10 cases, the SILS were all successfully operated, including left lateral hepatectomy in 6 cases, S2 segmentectomy in 3 cases, and irregular hepatectomy in the inferior segments of the right lobe in the other 1 case. The mean operation time was (123.0±43.0) min (range, 50-180 min), and the mean intraoperative blood loss was (282.0 ± 222.4) ml (range, 20-800 ml). The patients surgical wound healed well, with good cosmetic wound healing, and were discharged from hospital in a mean of (7.4 ± 1.84) d (range, 3-10d), with no complications. The parameters were comparable with that in the English literature.

Our experiences suggest that the application of SILS on the resection of hepatic hemangioma is feasible, and might be a safe option for patients, especially for the lesions in the left lateral segment or inferior segments of the right lobe.

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