Hepatocellular adenoma: an excellent indication for laparoscopic liver resection

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author HERMAN, Paulo FMUSP-HC
COELHO, Fabricio Ferreira FMUSP-HC
PERINI, Marcos Vinicius FMUSP-HC
D'ALBUQUERQUE, Luiz Augusto Carneiro FMUSP-HC
dc.date.issued 2012
dc.identifier.citation HPB, v.14, n.6, p.390-395, 2012
dc.identifier.issn 1365-182X
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/624
dc.description.abstract Objectives: Laparoscopic resection for benign liver disease has gained wide acceptance in recent years and hepatocellular adenoma (HA) seems to be an appropriate indication. This study aimed to discuss diagnosis and treatment strategies, and to assess the feasibility, safety and outcomes of pure laparoscopic liver resection (LLR) in a large series of patients with HA. Methods: Of 88 patients who underwent pure LLR, 31 were identified as having HA. Diagnosis was based on radiological evaluation and resections were performed for lesions measuring >5.0 cm. Results: The sample included 29 female and two male patients. Their mean age was 33.2 years. A total of 27 patients had a single lesion, one patient had two and one had four lesions. The two remaining patients had liver adenomatosis. Mean tumour size was 7.5 cm. Three right hepatectomies, 17 left lateral sectionectomies and 11 wedge resections or segmentectomies were performed. There was no need for blood transfusion or conversion to open surgery. Postoperative complications occurred in two patients. Mean hospital stay was 3.8 days. Conclusions: Hepatocellular adenoma should be regarded as an excellent indication for pure LLR. Pure LLR is safe and feasible and should be considered the standard of care for the treatment of HA when performed by surgeons with experience in liver and laparoscopic surgery.
dc.language.iso eng
dc.publisher WILEY-BLACKWELL
dc.relation.ispartof HPB
dc.rights restrictedAccess
dc.subject liver surgery; laparoscopy; hepatocellular adenoma; liver adenoma; laparoscopic liver resection
dc.subject.other focal nodular hyperplasia; oral-contraceptive use; malignant-transformation; hepatic adenoma; experience; classification; sectionectomy; hepatectomy; management
dc.title Hepatocellular adenoma: an excellent indication for laparoscopic liver resection
dc.type article
dc.rights.holder Copyright WILEY-BLACKWELL
dc.description.group LIM/37
dc.description.group LIM/35
dc.identifier.doi 10.1111/j.1477-2574.2012.00463.x
dc.identifier.pmid 22568415
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author HERMAN, Paulo:FM:MGT
hcfmusp.author COELHO, Fabricio Ferreira:HC:ICHC
hcfmusp.author PERINI, Marcos Vinicius:HC:ICHC
hcfmusp.author LUPINACCI, Renato Micelli:HC:ICESP
hcfmusp.author D'ALBUQUERQUE, Luiz Augusto Carneiro:FM:MGT
hcfmusp.author CECCONELLO, Ivan:FM:MGT
hcfmusp.origem.id 2-s2.0-84861095920
hcfmusp.origem.id WOS:000303800700005
hcfmusp.publisher.city MALDEN
hcfmusp.publisher.country USA
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dc.description.index MEDLINE
hcfmusp.citation.scopus 19
hcfmusp.citation.wos 18

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