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Conservative and operative management of benign solid hepatic tumours: a successful stratified algorithm
Sabrina Dardenne1, Catherine Hubert, Christine Sempoux
1Division of Hepato-Biliary and Pancreatic Surgery, Department of Abdominal Surgery and Transplantation, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain (UCL), Brussels, Belgium.
European Journal of Gastroenterology & Hepatology
|August 5, 2010
Summary
A conservative approach to benign liver tumors is safe and effective. Most tumors remained stable or resolved without intervention, with low complication rates in surgical cases.
Area of Science:
- Hepatology
- Surgical Oncology
- Diagnostic Imaging
Background:
- Modern imaging enhances diagnosis of benign liver tumors.
- This allows for increased conservative management strategies.
- Tailored approaches improve patient outcomes.
Purpose of the Study:
- To evaluate the safety and efficacy of a restrictive surgical policy for benign liver tumors.
- To assess outcomes of both operative and conservative management.
- To determine long-term disease control and patient safety.
Main Methods:
- 132 patients with benign hepatic tumors were analyzed.
- Patients were divided into operative (49) and conservative (83) groups.
- Tumor and treatment features were assessed, with long-term follow-up.
Main Results:
- No mortality in the operative group; complications related to major hepatectomy for large tumors.
- 95.5% follow-up showed no misdiagnosis or malignant transformation.
- 87.9% of observed tumors were stable, decreased, or disappeared; none required surgery.
Conclusions:
- A restrictive surgical approach for benign liver tumors is safe and effective.
- Management based on imaging, symptoms, and biopsies leads to good disease control.
- Low operative mortality and satisfactory outcomes for the majority of patients.
