Adequate symptom relief justifies hepatic resection for benign disease

BMC Surg. 2005 Apr 1:5:7. doi: 10.1186/1471-2482-5-7.

Abstract

Background: The purpose of this study was to evaluate the long-term results of partial liver resection for benign liver lesions.

Methods: All patients operated on for benign liver lesions from 1991 to 2002 were included. Information was retrieved from medical records, the hospital registration system and by a telephonic questionnaire.

Results: Twenty-eight patients with a median age of 41 years (17-71) were operated on (M/F ratio 5/23). The diagnosis was haemangioma in 8 patients, FNH in 6, HCA in 13 and angiomyolipoma in 1. Eight patients were known to have relevant co-morbidity. Median operating time was 207 minutes (45-360). The morbidity rate was 25% and no postoperative mortality was observed. Twenty-two patients (79%) had symptoms (mainly abdominal pain) prior to surgery. Twenty-five patients were reached for a questionnaire. The median follow up was 55 months (4-150). In 89% of patients preoperative symptoms had decreased or disappeared after surgery. Four patients developed late complications.

Conclusion: Long-term follow up after liver surgery for benign liver lesions shows considerable symptom relief and patient satisfaction. In addition to a correct indication these results justify major surgery with associated morbidity and mortality.

Publication types

  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Angiomyolipoma / surgery*
  • Female
  • Focal Nodular Hyperplasia / surgery*
  • Follow-Up Studies
  • Hemangioma / surgery*
  • Hepatectomy
  • Humans
  • Liver / pathology
  • Liver / surgery*
  • Liver Neoplasms / pathology
  • Liver Neoplasms / surgery*
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Postoperative Complications*
  • Retrospective Studies
  • Treatment Outcome