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Enucleation versus hepatectomy for hepatic hemangiomas: A meta-analysis
Bin Jiang1, Zheng-Chao Shen1, Xiao-San Fang1
1Department of Hepato-Biliary-Pancreatic Surgery, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital), Wuhu, China.
Frontiers in Surgery
|August 15, 2022
Summary
Enucleation offers better outcomes than hepatectomy for liver hemangioma treatment, reducing complications, blood loss, and hospital stay. Both surgical methods show similar safety regarding transfusion needs and mortality.
Area of Science:
- Hepatobiliary Surgery
- Surgical Oncology
- Gastroenterology
Background:
- Hepatic hemangioma (HH) is a common benign liver tumor.
- Surgical management options include enucleation and hepatectomy.
- Choosing the optimal surgical approach is crucial for patient outcomes.
Purpose of the Study:
- To compare the safety and efficacy of enucleation versus hepatectomy for treating hepatic hemangioma.
- To evaluate key surgical outcomes and complications associated with each procedure.
Main Methods:
- A systematic literature search was performed up to February 2022.
- Data from 12 studies involving 1,384 patients (726 enucleations, 658 hepatectomies) were meta-analyzed.
- Surgical outcomes including operation time, blood loss, hospital stay, and complications were compared.
Main Results:
- Enucleation demonstrated significantly shorter operation times, reduced blood loss, and shorter hospital stays compared to hepatectomy.
- Postoperative complications were less frequent following enucleation.
- No significant differences were observed between the groups regarding transfusion requirements, inflow occlusion time, or 30-day postoperative mortality.
Conclusions:
- Enucleation is an effective treatment for hepatic hemangioma, associated with improved outcomes and reduced complications compared to hepatectomy.
- Enucleation offers comparable safety to hepatectomy concerning critical perioperative metrics.
