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Two-stage laparoscopic resection of giant hepatoblastoma in infants combined with liver partial partition and artery ligation

PURPOSE: Laparoscopic resection of giant hepatoblastoma (HB) in children has long been a subject of controversy. Here, a new procedure of two-stage laparoscopic resection of giant HB in infants was firstly reported and the feasibility was discussed. METHODS: The clinical data of three infants with H...

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Autores principales: Wu, Yaohao, Zeng, Lexiang, Qiu, Ronglin, Zhang, Jie, Su, Jianhang, Liao, Minyi, Deng, Xiaogeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908728/
https://www.ncbi.nlm.nih.gov/pubmed/33632257
http://dx.doi.org/10.1186/s12957-021-02156-y
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author Wu, Yaohao
Zeng, Lexiang
Qiu, Ronglin
Zhang, Jie
Su, Jianhang
Liao, Minyi
Deng, Xiaogeng
author_facet Wu, Yaohao
Zeng, Lexiang
Qiu, Ronglin
Zhang, Jie
Su, Jianhang
Liao, Minyi
Deng, Xiaogeng
author_sort Wu, Yaohao
collection PubMed
description PURPOSE: Laparoscopic resection of giant hepatoblastoma (HB) in children has long been a subject of controversy. Here, a new procedure of two-stage laparoscopic resection of giant HB in infants was firstly reported and the feasibility was discussed. METHODS: The clinical data of three infants with HB were retrospectively reviewed, all of which received 3–5 cycles of neoadjuvant chemotherapy. Stage 1 laparoscopic selective hepatic artery ligation and liver partial partition were performed. Stage 2 laparoscopic hepatectomy was performed 2 weeks later. RESULTS: The results demonstrated that (1) the tumors shrank considerably in size and had relatively clear boundaries after neoadjuvant chemotherapy; (2) after stage 1 surgery, the tumor volume further reduced, while the intratumoral necrosis expanded; (3) 2 weeks later, stage 2 laparoscopic hepatectomy was performed successfully; (4) none of the cases had intraoperative complications such as tumor rupture, air embolism, hemorrhage, biliary fistula, or liver failure, and there was no recurrence or metastasis during follow-up. CONCLUSIONS: Two-stage laparoscopic hepatectomy associating selective hepatic artery ligation and liver partial partition for HB in infants has the benefits of small invasiveness, fast recovery, improved safety, and high feasibility. However, more cases and longer follow-up are needed to assess its long-term efficacy.
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spelling pubmed-79087282021-02-26 Two-stage laparoscopic resection of giant hepatoblastoma in infants combined with liver partial partition and artery ligation Wu, Yaohao Zeng, Lexiang Qiu, Ronglin Zhang, Jie Su, Jianhang Liao, Minyi Deng, Xiaogeng World J Surg Oncol Research PURPOSE: Laparoscopic resection of giant hepatoblastoma (HB) in children has long been a subject of controversy. Here, a new procedure of two-stage laparoscopic resection of giant HB in infants was firstly reported and the feasibility was discussed. METHODS: The clinical data of three infants with HB were retrospectively reviewed, all of which received 3–5 cycles of neoadjuvant chemotherapy. Stage 1 laparoscopic selective hepatic artery ligation and liver partial partition were performed. Stage 2 laparoscopic hepatectomy was performed 2 weeks later. RESULTS: The results demonstrated that (1) the tumors shrank considerably in size and had relatively clear boundaries after neoadjuvant chemotherapy; (2) after stage 1 surgery, the tumor volume further reduced, while the intratumoral necrosis expanded; (3) 2 weeks later, stage 2 laparoscopic hepatectomy was performed successfully; (4) none of the cases had intraoperative complications such as tumor rupture, air embolism, hemorrhage, biliary fistula, or liver failure, and there was no recurrence or metastasis during follow-up. CONCLUSIONS: Two-stage laparoscopic hepatectomy associating selective hepatic artery ligation and liver partial partition for HB in infants has the benefits of small invasiveness, fast recovery, improved safety, and high feasibility. However, more cases and longer follow-up are needed to assess its long-term efficacy. BioMed Central 2021-02-25 /pmc/articles/PMC7908728/ /pubmed/33632257 http://dx.doi.org/10.1186/s12957-021-02156-y Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Wu, Yaohao
Zeng, Lexiang
Qiu, Ronglin
Zhang, Jie
Su, Jianhang
Liao, Minyi
Deng, Xiaogeng
Two-stage laparoscopic resection of giant hepatoblastoma in infants combined with liver partial partition and artery ligation
title Two-stage laparoscopic resection of giant hepatoblastoma in infants combined with liver partial partition and artery ligation
title_full Two-stage laparoscopic resection of giant hepatoblastoma in infants combined with liver partial partition and artery ligation
title_fullStr Two-stage laparoscopic resection of giant hepatoblastoma in infants combined with liver partial partition and artery ligation
title_full_unstemmed Two-stage laparoscopic resection of giant hepatoblastoma in infants combined with liver partial partition and artery ligation
title_short Two-stage laparoscopic resection of giant hepatoblastoma in infants combined with liver partial partition and artery ligation
title_sort two-stage laparoscopic resection of giant hepatoblastoma in infants combined with liver partial partition and artery ligation
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908728/
https://www.ncbi.nlm.nih.gov/pubmed/33632257
http://dx.doi.org/10.1186/s12957-021-02156-y
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