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
Keyword(s):  
Hepatocellular Carcinoma ◽  
Elderly Patient ◽  
Case Report ◽  
Elderly Patients ◽  
Liver Tumor ◽  
Transarterial Chemoembolization ◽  
Laparoscopic Resection ◽  
Laparoscopic Hepatectomy ◽  
Postoperative Course ◽  
Medical Status

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.

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
Keyword(s):  
Hepatocellular Carcinoma ◽  
Elderly Patient ◽  
Case Report ◽  
Elderly Patients ◽  
Older Patients ◽  
Therapeutic Strategy ◽  
Laparoscopic Resection ◽  
Laparoscopic Hepatectomy ◽  
Careful Planning ◽  
Postoperative Course

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.

Bleeding Liver Tumor in a Patient on Anticoagulation Therapy – Case Report

2015 ◽  
Vol 87 (12) ◽  
Author(s):  
Łukasz Migdalski ◽  
Krzysztof Kuzdak
Keyword(s):  
Hepatocellular Carcinoma ◽  
Case Report ◽  
Elderly Patients ◽  
Anticoagulant Therapy ◽  
Liver Tumor ◽  
Tumor Resection ◽  
Anticoagulation Therapy ◽  
Haemorrhagic Shock ◽  
Surgical Team ◽  
Intraabdominal Bleeding

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.

scholarly journals Rupture and intra-peritoneal bleeding of a hepatocellular carcinoma after a transarterial chemoembolization procedure: a case report

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
pp. 68 ◽  
Author(s):  
Artan Reso ◽  
Chad G Ball ◽  
Francis R Sutherland ◽  
Oliver Bathe ◽  
Elijah Dixon
Keyword(s):  
Hepatocellular Carcinoma ◽  
Case Report ◽  
Transarterial Chemoembolization

The outcomes of elderly patients with hepatocellular carcinoma treated with transarterial chemoembolization

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

scholarly journals Recurrent cornual pregnancy: a case report

2021 ◽  
Vol 10 (8) ◽  
pp. 3229
Author(s):  
Neelotparna Saikia ◽  
Sukalyan Halder ◽  
Punam Jain
Keyword(s):  
Case Report ◽  
Mortality Rate ◽  
Ectopic Pregnancy ◽  
Vaginal Delivery ◽  
Laparoscopic Resection ◽  
Significant Risk ◽  
Normal Vaginal Delivery ◽  
Cornual Pregnancy ◽  
Postoperative Course ◽  
Ectopic Pregnancies

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.

scholarly journals Hepatic Epithelioid Angiomyolipoma Treated with Laparoscopic Resection: Case Report and Review of the Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Chloe H. Williams ◽  
Kelli Hickle ◽  
Katherine Bakke ◽  
Sarah Jamshed ◽  
Adel Bozorgzadeh
Keyword(s):  
Hepatocellular Carcinoma ◽  
Liver Tumor ◽  
Laparoscopic Resection ◽  
Imaging Features ◽  
Review Of The Literature ◽  
Hepatic Angiomyolipoma ◽  
Epithelioid Angiomyolipoma ◽  
Radiographic Appearance ◽  
Primary Liver Tumor ◽  
Noncirrhotic Patient

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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