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Pais-Costa et al. Mini-invasive Surg 2018;2:33 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2018.33

Original Article Open Access

Laparoscopic hepatectomy for benign hepatic
lesions: short and long-term outcomes including
quality-of-life evaluation

Sergio Renato Pais-Costa , Olímpia Alves Teixeira Lima , Guilherme Crispim Costa , Sandro José
3
1
2
Martins 4
1 Hospital Brasilia and University Hospital of Brasilia, University of Brasilia, Brasília 70390-108, Federal District, Brazil.
2 Hospital Brasilia, University of Brasília, Brasília 70390-108, Federal District, Brazil.
3 Hospital Brasilia, Brasília 70390-108, Federal District, Brazil.
4 Ministry of Health, Brasília 70390-108, Federal District, Brazil.
Correspondence to: Dr. Sergio Renato Pais-Costa, Hospital Brasilia and University Hospital of Brasilia, University of Brasilia,
SEPS 710/910, Sala 330, CEP: 70390-108 - Brasília - DF - Brazil. E-mail: srenatopaiscosta@hotmail.com

How to cite this article: Pais-Costa SR, Lima OAT, Costa GC, Martins SJ. Laparoscopic hepatectomy for benign hepatic lesions:
short and long-term outcomes including quality-of-life evaluation. Mini-invasive Surg 2018;2:33.
http://dx.doi.org/10.20517/2574-1225.2018.33

Received: 31 May 2018 First Decision: 3 Jul 2018 Revised: 14 Sep 2018 Accepted: 17 Sep 2018 Published: 29 Sep 2018

Science Editor: Fernando Andrés Alvarez Copy Editor: Yuan-Li Wang Production Editor: Zhong-Yu Guo

Abstract
Aim: Even though laparoscopic hepatectomy (LH) has proved to be both safe and effective in specialized centers; the
restricted indications for resection in the case of benign liver lesions has resulted in poorly reported outcomes. Our
aim was to describe the short and long-term results of LH to treat benign hepatic lesions, including quality of life (QoL)
evaluation.

Methods: Thirty-one LHs were performed between 2007 and 2018 in 30 patients. We evaluated QoL with the SF-36 test and
a body image satisfaction questionnaire by personal interview before surgical treatment and at 1 month, 3 months, 6 months
and 1 year after surgery.

Results: Median age was 38 years (range 21-71) and the majority were females (68%). The most frequent etiology was
hepatic adenoma in 16 patients (52%), followed by focal nodular hyperplasia (n = 4), cavernous hemangioma (n = 3),
hepatic abscess (n = 3), cystadenoma (n = 5) and hepatolithiasis (n = 1). The majority of resections were minor (66%)
and the conversion rate was 6.2%. Pathological examination confirmed negative margins in all patients. Postoperative
mortality was nil, while morbidity was 6.2%. Median hospital stay was 4 days (range 1-32 days). In a median follow-up
of 48 months (range 2-120), 2 patients experienced recurrence. QoL variables were similar between the preoperative
and postoperative periods.

© The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made.

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