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ID 37807
本文ファイル
著者
Asahara, Toshimasa
Dohi, Kiyohiko
Itamoto, Toshiyuki
Katayama, Koji
Nakahara, Hideki
Hino, Hiroshi
Sugino, Keizo
Ono, Eiji
Nakanishi, Toshio
Kitamoto, Mikiya
Moriwaki, Katsufumi
Yuge, Osafumi
Shimamoto, Fumio
Ito, Katsuhide
キーワード
Cavernous hemangioma
Hepatic resection
Less invasive surgery
NDC
医学
抄録(英)
In this report, we evaluate the indications of, and present our recent strategy for, cavernous hemangioma of the liver. Seven patients with cavernous hemangiomas of the liver, who underwent hepatic resection were enrolled in this study. The lesions were located in the right lobe in 3 patients, the left lobe in 2, and in both the right and left lobes in 2. The longest diameter of the lesions ranged from 1.4 to 14.5cm (mean, 8.2cm). The indications for hepatic resection were symptomatic lesions in 3 patients, lesions suspected to be hepatocellular carcinoma in 2, and symptomatic and growing lesions during follow-up in 2. Right lobectomy was performed in 2 patients, left lobectomy with caudate lobectomy in 1 patient, and minor hepatic resection in the other 4 patients. One of the patients who underwent minor hepatic resection had recently received laparoscopy-assisted hepatic resection and one of the three patients who received transfusion during surgery was given an autotransfusion. There were no mortality, and morbidity was minimal. In conclusion, hepatic resection, including laparoscopy-assisted procedures, was considered a safe treatment. Hepatic resection for cavernous hemangioma should be performed only in patients with moderate to severe symptoms, complicated lesions or both, because most benign lesions have a good natural course. Furthermore, in the future, less invasive surgical procedures should be used whenever possible to treat these benign liver tumors.
掲載誌名
Hiroshima Journal of Medical Sciences
47巻
4号
開始ページ
145
終了ページ
149
出版年月日
1998-12
出版者
Hiroshima University Medical Press
ISSN
0018-2052
NCID
言語
英語
NII資源タイプ
紀要論文
広大資料タイプ
学内刊行物(紀要等)
DCMIタイプ
text
フォーマット
application/pdf
著者版フラグ
publisher
部局名
医歯薬学総合研究科
病院
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