Abstract:
BACKGROUND:Surgical indications for liver hemangioma remain unclear. METHODS:Of 510 patients undergoing surgical resection for liver hemangioma in 118 Japanese centers between 1998 and 2012, abdominal symptoms, diagnostic accuracy, and surgical outcomes were analyzed to propose size-based surgical indications. Patients were classified into four groups based on tumor size: Group A ≤5 cm (n = 122, 24%), Group B 5-10 cm (n = 164, 32%), Group C 10-15 cm (n = 124, 24%), and Group D >15 cm (n = 100, 20%). RESULTS:Hemangiomas in Group A were most frequently diagnosed as malignant tumors (43.5%) due to the absence of typical imaging findings and with highest incidence of positive HBV (15.7%). Diagnostic accuracy was 98.4% in Groups B to D. Liver failure after hepatectomy was higher in Group D than in Groups A to C (3.0% vs. 0.5%, P = 0.02). Only one operative death was observed (0.2%) in Group D. CONCLUSIONS:In patients with ≤5 cm hemangioma, surgical resection can be indicated when a malignant tumor cannot be ruled out. However, surgery for 5-10 cm asymptomatic hemangiomas should be limited. Experienced hepatic surgeons should conduct hepatectomy for tumors >15 cm to avoid serious morbidity or mortality.
journal_name
J Hepatobiliary Pancreat Scijournal_title
Journal of hepato-biliary-pancreatic sciencesauthors
Sakamoto Y,Kokudo N,Watadani T,Shibahara J,Yamamoto M,Yamaue H,Japanese Society of Hepato-Biliary-Pancreatic Surgery.doi
10.1002/jhbp.464subject
Has Abstractpub_date
2017-07-01 00:00:00pages
417-425issue
7eissn
1868-6974issn
1868-6982journal_volume
24pub_type
杂志文章abstract:OBJECTIVE:The aim of the present study was to analyze the outcome of laparoscopic approach specifically in patients with Intermediate-stage disease and to define the differential benefit with Early-stage patients. METHODS:Six hundred twenty-two resections for HCC were dichotomized according to staging (Early and Inter...
journal_title:Journal of hepato-biliary-pancreatic sciences
pub_type: 杂志文章
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更新日期:2020-08-01 00:00:00
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journal_title:Journal of hepato-biliary-pancreatic sciences
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doi:10.1002/jhbp.252
更新日期:2015-07-01 00:00:00
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journal_title:Journal of hepato-biliary-pancreatic sciences
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00534-011-0400-y
更新日期:2012-03-01 00:00:00
abstract::Intrahepatic cholangiocarcinomas (ICCs) are made up of heterogenous carcinomas arising from different anatomical sites of the liver. Two types of candidate stem/progenitor cells of the biliary tree are postulated to exist at the peribiliary glands for large bile ducts and at the canals of Hering for small ducts and he...
journal_title:Journal of hepato-biliary-pancreatic sciences
pub_type: 杂志文章,评审
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更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:Since the publication of the Tokyo Guidelines (TG13) for the management of acute cholecystitis (AC), multidirectional studies have been published. However, epidemiological research about AC with big data was not projected. The aim of this study was to reveal the actual clinical conditions of AC. METHOD:The ...
journal_title:Journal of hepato-biliary-pancreatic sciences
pub_type: 杂志文章,多中心研究
doi:10.1002/jhbp.450
更新日期:2017-06-01 00:00:00
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journal_title:Journal of hepato-biliary-pancreatic sciences
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doi:10.1002/jhbp.552
更新日期:2018-06-01 00:00:00
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doi:10.1007/s00534-009-0260-x
更新日期:2010-03-01 00:00:00
abstract::Although the diagnostic and severity grading criteria on the 2013 Tokyo Guidelines (TG13) are used worldwide as the primary standard for management of acute cholangitis (AC), they need to be validated through implementation and assessment in actual clinical practice. Here, we conduct a systematic review of the literat...
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更新日期:2018-01-01 00:00:00
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更新日期:2014-09-01 00:00:00
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journal_title:Journal of hepato-biliary-pancreatic sciences
pub_type: 杂志文章,多中心研究
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更新日期:2015-10-01 00:00:00
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更新日期:2019-06-01 00:00:00
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journal_title:Journal of hepato-biliary-pancreatic sciences
pub_type: 信件,评审
doi:10.1002/jhbp.504
更新日期:2018-01-01 00:00:00
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journal_title:Journal of hepato-biliary-pancreatic sciences
pub_type: 杂志文章
doi:10.1007/s00534-011-0452-z
更新日期:2012-01-01 00:00:00
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更新日期:2014-02-01 00:00:00
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journal_title:Journal of hepato-biliary-pancreatic sciences
pub_type: 杂志文章
doi:10.1002/jhbp.22
更新日期:2014-03-01 00:00:00
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更新日期:2020-11-01 00:00:00
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更新日期:2020-09-01 00:00:00
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更新日期:2019-11-01 00:00:00
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更新日期:2014-10-01 00:00:00
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journal_title:Journal of hepato-biliary-pancreatic sciences
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doi:10.1007/s00534-009-0207-2
更新日期:2010-07-01 00:00:00
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更新日期:2016-08-01 00:00:00
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更新日期:2020-11-01 00:00:00
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更新日期:2011-09-01 00:00:00
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