Extended liver resection including hypertrophy concept with portal venous embolisation for giant haemangioma. Too much surgery?

• Published in: Annals of hepato-biliary-pancreatic surgery Vol. 24; no. 3; pp. 357 - 361
• Main Authors: Strohmaier, Alina, Wagner, Kim C., Reese, Tim, Fard-Aghaie, Mohammad, Makridis, Georgios, Rittberg, York von, Horling, Katja, Oldhafer, Karl J.
• Format: Journal Article
• Language: English
• Published: 한국간담췌외과학회 31.08.2020; The Korean Association of Hepato-Biliary-Pancreatic Surgery
• Subjects: Case Report; 일반외과학; Portal venous embolization; Liver resection; Haemangioma
• ISSN: 2508-5778; 2058-5778; 2508-5859
• DOI: 10.14701/ahbps.2020.24.3.357

Haemangiomas of the liver are benign tumours, which are often diagnosed randomly. With an increase in size haemangiomas could become symptomatic. In this case therapeutic options, surgical or interventional, have to be weighted to a conservative approach. We present a case of a 36-year old woman with a symptomatic giant haemangioma of the right liver lobe. Because of the size of the tumor and the small future liver remnant we decided to perform a major liver resection after hypertrophy induction with a preoperative portal vein embolization; an option mainly used for major hepatectomies in malignant tumors of the liver. But however, this case shows, that using a hypertrophy concept also for benign liver tumours is the safer approach, if an extended resection is necessary and the future liver remnant is critical.