Liver resection for benign liver tumors: indications and outcome

Ibrahim, Salleh; Chen, Chao-Long; Wang, Shih-Ho; Lin, Chih-Che; Yang, Chin-Hsiang; Yong, Chee-Chien; Jawan, Bruno; Cheng, Yu-Fan

doi:10.1016/j.amjsurg.2006.04.017

« Previous Next »The American Journal of Surgery
Volume 193, Issue 1 , Pages 5-9, January 2007

Liver resection for benign liver tumors: indications and outcome

Salleh Ibrahim, F.R.C.S. Glas.
- Department of Surgery and Liver Transplantation Program, Chang Gung Memorial Hospital-Kaohsiung Medical Center, and Chang Gung University College of Medicine, 123 Ta-Pei Rd., Niao-Sung, Kaohsiung 83305, Taiwan
Chao-Long Chen, M.D.
- Department of Surgery and Liver Transplantation Program, Chang Gung Memorial Hospital-Kaohsiung Medical Center, and Chang Gung University College of Medicine, 123 Ta-Pei Rd., Niao-Sung, Kaohsiung 83305, Taiwan
- Corresponding author. Tel.: +886-7-7317123; fax: +886-7-7324855.
Shih-Ho Wang, M.D.
- Department of Surgery and Liver Transplantation Program, Chang Gung Memorial Hospital-Kaohsiung Medical Center, and Chang Gung University College of Medicine, 123 Ta-Pei Rd., Niao-Sung, Kaohsiung 83305, Taiwan
Chih-Che Lin, M.D.
- Department of Surgery and Liver Transplantation Program, Chang Gung Memorial Hospital-Kaohsiung Medical Center, and Chang Gung University College of Medicine, 123 Ta-Pei Rd., Niao-Sung, Kaohsiung 83305, Taiwan
Chin-Hsiang Yang, M.D.
- Department of Surgery and Liver Transplantation Program, Chang Gung Memorial Hospital-Kaohsiung Medical Center, and Chang Gung University College of Medicine, 123 Ta-Pei Rd., Niao-Sung, Kaohsiung 83305, Taiwan
Chee-Chien Yong, M.D.
- Department of Surgery and Liver Transplantation Program, Chang Gung Memorial Hospital-Kaohsiung Medical Center, and Chang Gung University College of Medicine, 123 Ta-Pei Rd., Niao-Sung, Kaohsiung 83305, Taiwan
Bruno Jawan, M.D.
- Department of Anesthesiology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, and Chang Gung University College of Medicine, Kaohsiung, Taiwan
Yu-Fan Cheng, M.D.
- Department of Diagnostic Radiology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, and Chang Gung University College of Medicine, Kaohsiung, Taiwan

Received 25 October 2005; received in revised form 17 April 2006 published online 10 November 2006.

Abstract

Background

The indications for intervention in cases of benign liver tumors include symptoms, suspicion of malignancy, or risk of malignant change.

Methods

Eighty-four liver resections for benign tumors were performed in our hospital from June 1996 to December 2004. The patient records were reviewed retrospectively.

Results

The study group (41 females, 43 males; average age, 41.4 ± 10.5 y) included 46 cavernous hemangiomas, 27 focal nodular hyperplasias, 5 hepatic adenomas, and 6 liver cysts. The indications for resection were inability to rule out malignancy (50 [59.5%]), symptoms (33 [39.3%]), and others (1 [1.2%]). Postoperatively, 28 of the 33 patients had resolution of symptoms. Twenty-nine patients (34.5%) had chronic hepatitis B infection.

Conclusions

Liver resection for benign liver tumor is safe, but indications for intervention must be evaluated carefully. The presence of chronic parenchymal liver disease does not increase morbidity in these patients.

Keywords: Benign liver tumor, Liver resection, Chronic parenchymal liver disease