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Updated: Jun 11, 2026
Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
Published on: December 4, 2023
Hepatoblastoma: experience from a single center
T Singh1, C T Satheesh, L Appaji
1Department of Medical Oncology, Kidwai Memorial Institute of Oncology, Bangalore - 560 030, India.
Background:
The cornerstones of successful treatment of hepatoblastoma (HB) include preoperative chemotherapy followed by complete anatomical resection of tumor, followed by chemotherapy. Advances in chemotherapy in the last 2 decades have been associated with a higher rate of tumor response and possibly a greater potential for resectability.
Aims:
We analyzed our single center experience with neoadjuvant chemotherapy (NACT) and surgery in HBs.
Settings And Design:
Our study included all children with HBs who received NACT and underwent surgical excision from January 1997 to July 2004.
Materials And Methods:
Patient characteristics, clinical features, clinical course, treatment modalities, and long-term outcome were analyzed.
Results:
There were 9 boys and 3 girls, aged 5-60 months (median age at tumor diagnosis was 24 months). All received NACT containing cisplatin and doxorubicin. Of the 12 children, 9 underwent hepatectomy and among them, 4 patients each had right and left hepatectomy and 1 patient underwent right extended hepatectomy. After surgery, all patients completed rest of the chemotherapy course (total 6 cycles). R0 resection was carried out in all the 9 cases with no life-threatening complications.
Conclusions:
Our experience of the 9 cases, although less in number, reaffirms the advantages of NACT followed by surgery. The prognosis for patients with resectable tumors is fairly good in combination with chemotherapy.
