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Updated: Aug 18, 2026
Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
Adequate symptom relief justifies hepatic resection for benign disease
Bram Fioole1, Marike Kokke, Richard van Hillegersberg
1Department of Surgery (G,04,228), University Medical Centre Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands. bfioole@planet.nl
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.
