scholarly journals Case Report: Laparoscopic hepatectomy in an elderly patient with major comorbidities

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 1286
Author(s):  
Georgios C. Sotiropoulos ◽  
Nikolaos Machairas ◽  
Ioannis D. Kostakis

Surgeons have been hesitant to proceed to hepatectomy in elderly patients, due to the higher rate of comorbidities and the reduced reserves. An 81-year-old male with hepatocellular carcinoma in the segment VI of the liver and several major cardiovascular, pulmonary and metabolic comorbid illnesses was referred to our department for treatment. He underwent transarterial chemoembolization of the liver tumor and afterwards he underwent laparoscopic resection of the hepatic segment VI, with an uneventful postoperative course. This case indicates that laparoscopic liver resections could be applied even to elderly patients with major comorbidities after optimization of their medical status.

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 1286 ◽  
Author(s):  
Georgios C. Sotiropoulos ◽  
Nikolaos Machairas ◽  
Ioannis D. Kostakis

Surgeons have been hesitant to proceed to hepatectomy in elderly patients, due to the higher rate of comorbidities and the reduced reserves. An 81-year-old male with hepatocellular carcinoma in the segment VI of the liver and several major cardiovascular, pulmonary and metabolic comorbid illnesses was referred to our department for treatment. He underwent transarterial chemoembolization of the liver tumor and afterwards he underwent laparoscopic resection of the hepatic segment VI, with an uneventful postoperative course. This case indicates the safety and feasibility of laparoscopic liver resections in older patients, even when major comorbidities are present, provided that there is a careful planning of therapeutic strategy and operation.


2015 ◽  
Vol 87 (12) ◽  
Author(s):  
Łukasz Migdalski ◽  
Krzysztof Kuzdak

AbstractIntraabdominal bleeding is a serious surgical problem, particularly in elderly patients following an anticoagulant therapy. It occurs, that abdominal haemorrhage is the first symptom of hepatocellular carcinoma, mostly in Asians and Africans, occasionally in Europeans. The article's author shows a case of an elderly man, treated by Acenocumarolum, in a haemorrhagic shock. During an operation a bleeding liver tumor was revealed. The surgical team performed an effectual tumor resection and stoped the bleeding.


Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
pp. 68 ◽  
Author(s):  
Artan Reso ◽  
Chad G Ball ◽  
Francis R Sutherland ◽  
Oliver Bathe ◽  
Elijah Dixon

Cancer ◽  
2009 ◽  
Vol 115 (23) ◽  
pp. 5507-5515 ◽  
Author(s):  
Thomas Yau ◽  
Tzy Jyun Yao ◽  
Pierre Chan ◽  
Richard John Epstein ◽  
Kelvin K. Ng ◽  
...  

Author(s):  
Neelotparna Saikia ◽  
Sukalyan Halder ◽  
Punam Jain

Cornual ectopic pregnancy accounts for 2-4% of all the ectopic pregnancies with a mortality rate 6-7 times higher than that of the ectopics in general. It is a diagnostic and therapeutic challenge to the clinician with a significant risk of rupturing and bleeding. As of yet, the incidence of recurrent cornual ectopic pregnancies is unknown. This report described the case of a patient who developed two cornual ectopic pregnancies within a span of 3 years with an intervening full term normal vaginal delivery. The 1st cornual ectopic was successfully managed by laparoscopic resection, which was followed by an uneventful postoperative course. The following contralateral cornual ectopic was managed by laparotomy since the patient presented with large hemoperitoneum.


2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Chloe H. Williams ◽  
Kelli Hickle ◽  
Katherine Bakke ◽  
Sarah Jamshed ◽  
Adel Bozorgzadeh

Hepatic angiomyolipoma is a rare primary liver tumor, with a radiographic appearance very similar to hepatocellular carcinoma. We present the case of a noncirrhotic patient with a liver tumor suspicious for HCC by imaging features. Liver biopsy demonstrated angiomyolipoma, and the patient successfully underwent a laparoscopic liver resection.


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