Dataset Information

Safety and effective of laparoscopic microwave ablation for giant hepatic hemangioma: A retrospective cohort study.

ABSTRACT:

Introduction

The purpose of this study was to evaluate the advantages and disadvantages of laparoscopic microwave ablation (LMWA) as compared with conventional open resection (ORES) for the treatment of giant hepatic hemangioma.

Methods

and analysis: A retrospective chart review was conduct on patients with hepatic hemangioma underwent LMWA or ORES between 2014 and 2016.

Results

Of 131 patients, 37 patients underwent ORES and 94 patients underwent LMWA. Blood loss, operative time, postoperative hospital stay, hospital cost (RMB) were significantly different between two groups. Patients after LMWA experienced significantly less pain than those patients undergoing ORES. At a mean follow-up period of 12.8?±?3.6 months in ORES group and 13.5?±?2.5 months in LMWA group, no long-term complication was observed.

Conclusion

Compared with ORES, LMWA is a safe and effective minimally invasive for treating giant hepatic hemangioma.

SUBMITTER: Chen L

PROVIDER: S-EPMC6411492 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

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Publications

Safety and effective of laparoscopic microwave ablation for giant hepatic hemangioma: A retrospective cohort study.

Chen Libo L Zhang Lei L Tian Min M Hu Qinggang Q Zhao Lei L Xiong Jun J

Annals of medicine and surgery (2012) 20190205

<h4>Introduction</h4>The purpose of this study was to evaluate the advantages and disadvantages of laparoscopic microwave ablation (LMWA) as compared with conventional open resection (ORES) for the treatment of giant hepatic hemangioma.<h4>Methods</h4>and analysis: A retrospective chart review was conduct on patients with hepatic hemangioma underwent LMWA or ORES between 2014 and 2016.<h4>Results</h4>Of 131 patients, 37 patients underwent ORES and 94 patients underwent LMWA. Blood loss, operativ ...[more]

PMID: 30899458

Similar Datasets

Project description:BackgroundOpen enucleation (OE) is often performed for giant liver hemangioma (LH) because of its advantage in maximum preservation of functional liver parenchyma. Laparoscopic enucleation (LE) has been applied to LHs more frequently for its potential advantages in postoperative recovery and blood loss. However, to date, LE is still a difficult and complex surgical technique especially when the hemangioma is located in the right hemi liver. The aim of this study was to analyze whether LE is superior to OE for LH in the right hemi liver.MethodsDemographics and perioperative data of patients who underwent LE or OE for LH in the right hemi liver between May 2013 and July 2020 were collected. To decrease the selection bias, patients who underwent OE in first 2 years and those underwent LE in next 5 years by a same operation team were included. The data of sex, age, body mass index (BMI), American Society of Anesthesiologists (ASA) score, largest tumor size, and removed tumor number were enrolled in the propensity score matching (PSM) method to compensate for differences in the baseline characteristics between LE and OE groups. The perioperative outcomes were compared between 2 matched groups after PSM method.ResultsA total of 110 patients (36 LE vs. 74 OE) were matched by age, sex, BMI, ASA grade score, largest tumor size, removed tumor number and tumor location. Finally, 34 patients in each group were retained after PSM. There were no significant differences in operative time, estimated blood loss, amount of autologous transfusion, morbidity grade and the levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) on postoperative day 1 or 3 or 5. LE was associated with a significantly higher rate of use of the Pringle maneuver (P<0.001), shorter time to oral feeding (P<0.001) and shorter postoperative length of stay (P<0.001).ConclusionsFor LHs in the right hemi liver, the perioperative safety of LE is not inferior to OE, and LE seems to achieves a faster recovery from surgery compared with OE.

Dataset Information

Safety and effective of laparoscopic microwave ablation for giant hepatic hemangioma: A retrospective cohort study.

Introduction

Methods

Results

Conclusion

Publications

Safety and effective of laparoscopic microwave ablation for giant hepatic hemangioma: A retrospective cohort study.

Similar Datasets

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