Central hepatic resection for pediatric tumors Journal Article

  


Authors: La Quaglia, M. P.; Shorter, N. A.; Blumgart, L. H.
Article Title: Central hepatic resection for pediatric tumors
Abstract: Background/Purpose: Resection of hepatic malignancies in childhood has been facilitated greatly by an understanding of hepatic segmental anatomy. This report documents the indications and technique of central hepatic resection (mesohepatectomy) in children with hepatic malignancies. Methods: This is a retrospective study, and data are obtained from patient charts and operative reports. Three patients underwent central hepatic resection on or between June 27, 1997 and October 1, 1999. Results: All patients were boys, and their ages at diagnosis were 0.3, 0.8, and 3.8 years. Two had hepatoblastoma and one central hepatic metastases from a poorly defined epithelial malignancy. All 3 received neoadjuvant chemotherapy before hepatic resection. Segments IV, V, and VIII were removed in 2, and IV and V in the third. All patients survived, and histopathologic margins were clear in each. One patient had a postoperative bile collection treated with percutaneous catheter drainage. At follow-up, all patients remain alive without evidence of disease, and all have normal hepatic function. Conclusion: Central hepatic resection of malignant tumors involving segments IV, V, and VIII is feasible and effective in childhood. Copyright 2002, Elsevier Science (USA). All rights reserved.
Keywords: child; child, preschool; surgical technique; retrospective studies; case report; liver neoplasms; conference paper; neoplasm staging; childhood cancer; colorectal neoplasms; infant; adjuvant chemotherapy; liver tumor; liver resection; liver surgery; hepatectomy; hepatoblastoma; humans; human; male; priority journal; central hepatic resection; mesohepatectomy; segmental liver resection
Journal Title: Journal of Pediatric Surgery
Volume: 37
Issue: 7
ISSN: 0022-3468
Publisher: W.B. Saunders Co-Elsevier Inc.  
Date Published: 2002-07-01
Start Page: 986
End Page: 989
Language: English
DOI: 10.1053/jpsu.2002.33825
PUBMED: 12077755
PROVIDER: scopus
DOI/URL:

http://www.scopus.com/inward/record.url?eid=2-s2.0-0036300385&partnerID=40&md5=cd76461af7354ebfda64bea036b356d7
Notes: Presented at the 53rd Annual Meeting of the Section on Surgery of the American Academy of Pediatrics; 2001 Oct 19-21; San Francisco, CA -- Export Date: 14 November 2014 -- Source: Scopus
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MSK Authors
  1. Michael P La Quaglia
    411 La Quaglia
  2. Leslie H Blumgart
    352 Blumgart
  3. Nicholas A Shorter
    5 Shorter
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