JLE

Hépato-Gastro & Oncologie Digestive

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Surgical management of benign liver tumors Volume 22, issue 8, Octobre 2015

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Author
CHU Bordeaux,
Groupe Hospitalier Sud,
Hôpital Haut-Lévèque,
service de chirurgie digestive,
avenue Magellan,
33600 Pessac, France
* Tirés à part

Benign liver tumors are commonly diagnosed, with an increasing incidence probably because of the widespread use of imaging. Most of these tumors are asymptomatic and do not require any treatment, whatever the size (hepatic cysts, angioma or focal nodular hyperplasia). Surgery might be required either in case of haemorrhage, severe or disabling symptoms or to prevent evolutive complications, in case of adenoma and other rarer tumors,. Indications for surgery depend on the clinical presentation and the nature of the tumor, which can be usually defined on modern imaging. Four types of surgery can be identified: emergency, symptomatic, preventive or diagnostic surgery.

Laparoscopy has been a great progress in that field, but this approach should fulfil the rules of surgery of benign liver tumors: to be justified, safe, parenchyma-sparing, with no mortality, minimal morbidity and no transfusion.