Seo HI, Jo HJ, Sim MS, Kim S. Right trisegmentectomy with thoracoabdominal approach after transarterial embolization for giant hepatic hemangioma. World J Gastroenterol 2009; 15(27): 3437-3439 [PMID: 19610149 DOI: 10.3748/wjg.15.3437]
Corresponding Author of This Article
Hong Jae Jo, Associate Professor, MD, PhD, Department of Surgery, Postgraduate School of Medicine and Medical Research Institute, Pusan National University, Busan 602-739, South Korea. j1000h@hananet.net
Article-Type of This Article
Case Report
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World J Gastroenterol. Jul 21, 2009; 15(27): 3437-3439 Published online Jul 21, 2009. doi: 10.3748/wjg.15.3437
Right trisegmentectomy with thoracoabdominal approach after transarterial embolization for giant hepatic hemangioma
Hyung-Il Seo, Hong Jae Jo, Mun Sup Sim, Suk Kim
Hyung-Il Seo, Hong Jae Jo, Mun Sup Sim, Department of Surgery, Postgraduate School of Medicine and Medical Research Institute, Pusan National University, Busan 602-739, South Korea
Suk Kim, Department of Radiology, Postgraduate School of Medicine, Pusan National University, Busan 602-739, South Korea
Author contributions: Seo HI and Jo HJ wrote the paper; Seo HI and Sim MS managed the patient; Kim S interpreted radiological findings and prepared the radiological features.
Correspondence to: Hong Jae Jo, Associate Professor, MD, PhD, Department of Surgery, Postgraduate School of Medicine and Medical Research Institute, Pusan National University, Busan 602-739, South Korea. j1000h@hananet.net
Telephone: +82-51-2407238
Fax: +82-51-2471365
Received: March 5, 2009 Revised: May 19, 2009 Accepted: May 26, 2009 Published online: July 21, 2009
Abstract
Hepatic hemangiomas need to be treated surgically in cases where they are accompanied with symptoms, have a risk of rupture, or are hardly distinguishable from malignancy. The present authors conducted embolization of the right hepatic artery one day before an operation for a huge hemangioma accompanied with symptoms and confirmed a decrease in its size. The authors performed a right trisegmentectomy through a J-shape incision, using a thoracoabdominal approach, and safely removed a giant hemangioma of 32.0 cm × 26.5 cm × 8.0 cm in size and 2300 g in weight. Even for inexperienced surgeons, a J-shape incision with a thoracoabdominal approach is considered a safe and useful method when right-side hepatectomy is required for a large mass in the right liver.
