Metesh Acharya, Nikolaos Panagiotopoulos, Premjithlal Bhaskaran, Charis Kyriakides, Madhava Pai, Nagy Habib, Department of Surgery and Cancer, Imperial College London, Hammersmith Hospital Campus, London W12 OHS, United Kingdom.
World J Gastrointest Surg. 2012 Aug 27;4(8):199-202. doi: 10.4240/wjgs.v4.i8.199.
Haemangiomas are the most common solitary benign neoplasm of the liver with an incidence ranging from 5% to 20%. Although usually small and asymptomatic, they may reach considerable proportions and rarely give rise to life-threatening complications. Surgical intervention is required for incapacitating symptoms, established complications, and diagnostic uncertainty. The resection of haemangiomas demands meticulous surgical technique, owing to their high vascularity and the concomitant risk of intra-operative haemorrhage. Laparoscopic resection of giant haemangiomas is even more challenging, and has only been reported twice. We here report the case of a giant 10 cm liver haemangioma which was successfully resected laparoscopically using the laparoscopic HabibTM 4×, a bipolar radiofrequency device, without clamping major vessels and with minimal blood loss. Transfusion of blood or blood products was not required. The patient had an uneventful recovery and was asymptomatic at 7-mo follow-up.
肝血管瘤是肝脏最常见的单发良性肿瘤，发病率为 5%至 20%。虽然通常体积较小且无症状，但它们可能会达到相当大的比例，并且很少引起危及生命的并发症。对于导致丧失能力的症状、已确立的并发症和诊断不确定的情况，需要进行手术干预。由于肝血管瘤血管丰富，术中出血风险大，因此需要精细的手术技术进行切除。腹腔镜切除巨大肝血管瘤甚至更具挑战性，仅报告过两次。我们在此报告一例成功腹腔镜切除的 10cm 巨大肝血管瘤，使用腹腔镜 HabibTM 4×，一种双极射频设备，不夹闭主要血管，出血量少。无需输血或血液制品。患者恢复顺利，在 7 个月的随访时无症状。
