Right trisegmentectomy with thoracoabdominal approach after transarterial embolization for giant hepatic hemangioma.
Hepatic hemangiomas need to be treated surgically in cases where they are accompanied with symptoms, have a risk of rupture, or are hardly distinguishable from malignancy. The present authors conducted embolization of the right hepatic artery one day before an operation for a huge hemangioma accompanied with symptoms and confirmed a decrease in its size. The authors performed a right trisegmentectomy through a J-shape incision, using a thoracoabdominal approach, and safely removed a giant hemangioma of 32.0 cm x 26.5 cm x 8.0 cm in size and 2300 g in weight. Even for inexperienced surgeons, a J-shape incision with a thoracoabdominal approach is considered a safe and useful method when right-side hepatectomy is required for a large mass in the right liver.
Seo
Hyung-Il
HI
Department of Surgery, Postgraduate School of Medicine and Medical Research Institute, Pusan National University, Busan 602-739, South Korea.
Jo
Hong Jae
HJ
Sim
Mun Sup
MS
Kim
Suk
S
D000328:Adult; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006392:Hemangioma, Cavernous / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D006498:Hepatectomy / Q000379:methods*; D006499:Hepatic Artery / Q000601:surgery; D006801:Humans; D008099:Liver / Q000473:pathology / Q000601:surgery; D008113:Liver Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*