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Long-term outcomes of resection in patients with symptomatic benign liver tumours.
- Source :
-
HPB : the official journal of the International Hepato Pancreato Biliary Association [HPB (Oxford)] 2016 Nov; Vol. 18 (11), pp. 908-914. Date of Electronic Publication: 2016 Aug 21. - Publication Year :
- 2016
-
Abstract
- Background: Benign liver tumours (e.g., hepatocellular adenoma (HCA), focal nodular hyperplasia (FNH), and haemangioma) are occasionally resected for alleged symptoms, although data on long-term outcomes is lacking. The aim of this cross-sectional study was to assess long-term outcomes of surgical intervention.<br />Methods: Forty patients with benign tumours (HCA 20, FNH 12, giant haemangioma 4, cysts 4) were included. Patients filled in Validated McGill Pain Questionnaires, preoperatively and after a median of 54 months after resection. Outcomes were evaluated using paired sample t-test and (M) ANOVA.<br />Results: Relief of symptoms sustained in 30/40 patients, within a follow-up of 54 (24-148) months after resection. VAS scores were reduced from 5.5 preoperatively to 1.6 postoperatively (p < 0.001). Patients with left-sided tumours had higher postoperative Pain Rating Index (PRI), compared to patients with right-sided tumours: 15.3 vs. 5.8 (p = 0.018). If patients could reconsider undergoing surgery, 34/38 would again choose resection. Discomfort at the operative scar was the most common complaint: 8/40 patients, all after open surgery, of whom 3/40 had an incisional hernia. 7/40 patients had a laparoscopic resection.<br />Conclusion: Resection relieved symptoms in 30/40 patients. The operative scar was a frequent source for remaining postoperative complaints, suggesting an advantage for a laparoscopic approach when feasible.<br /> (Copyright © 2016 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights reserved.)
- Subjects :
- Adenoma, Liver Cell pathology
Adult
Aged
Cicatrix etiology
Cross-Sectional Studies
Female
Focal Nodular Hyperplasia pathology
Hemangioma pathology
Humans
Incisional Hernia etiology
Liver Neoplasms pathology
Male
Middle Aged
Pain Measurement
Pain, Postoperative diagnosis
Pain, Postoperative etiology
Patient Satisfaction
Time Factors
Treatment Outcome
Adenoma, Liver Cell surgery
Focal Nodular Hyperplasia surgery
Hemangioma surgery
Hepatectomy adverse effects
Liver Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1477-2574
- Volume :
- 18
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- HPB : the official journal of the International Hepato Pancreato Biliary Association
- Publication Type :
- Academic Journal
- Accession number :
- 27553837
- Full Text :
- https://doi.org/10.1016/j.hpb.2016.07.013