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Updated: Jun 29, 2026

Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach

Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach

Published on: August 8, 2025

Hepatic hemangiomas and parachuting.

Timothy P Plackett¹, Kevin M Lin-Hurtubise

¹Department of General Surgery, Tripler Army Medical Center, 1 Jarrett White Road, TAMC, Honolulu, HI 96859, USA.

Aviation, Space, and Environmental Medicine

|October 17, 2008

Summary

This summary is machine-generated.

Hepatic hemangiomas, common benign liver tumors, rarely rupture spontaneously or from trauma. This case suggests patients with these tumors can safely continue activities like parachuting without restriction.

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Area of Science:

Hepatology
Radiology
Trauma Surgery

Background:

Hepatic hemangiomas are common benign liver tumors.
Historically, concerns about traumatic rupture influenced treatment decisions.
Literature review indicates rupture is uncommon.

Observation:

A patient with large hepatic hemangiomas was incidentally diagnosed via CT scan.
The diagnosis occurred during work-up for a pelvic fracture sustained from parachuting.
The patient remained hemodynamically stable and was cleared for physical activity.

Findings:

The literature supports an extremely low incidence of traumatic rupture of hepatic hemangiomas.
Interventional radiology consultation did not recommend embolization for the patient's hemangiomas.
Continued observation without activity restriction was advised.

Implications:

Hepatic hemangiomas should not preclude individuals from participating in high-impact activities such as parachuting.
Clinical management should focus on the low risk of rupture rather than prophylactic measures.
This case supports a less restrictive approach to managing patients with hepatic hemangiomas.