HPB Virtual Journal Club Number 9, May 2015

“Management Options for Benign Liver Lesions”

General surgeons and certainly HPB specialists worldwide will frequently encounter asymptomatic and symptomatic benign liver lesions. While most can be observed with surveillance imaging and clinical exam updates, some pose a threat of progression to complications and even malignancy. We feel this topic is ripe for an update to our HPB community, especially since these lesions are more and more often managed through today’s advancing minimally-invasive surgical techniques. These recently published HPB articles provide your Journal Club the content to meet our Learning Objectives:

  • Understand the prevalence, investigation and management options for liver lesions discovered incidentally upon imaging.
  • Assess the changing management strategies available for benign liver tumors based on a large single institution experience.
  • Understand when and whether surgical resection is indicated for focal nodular hyperplasia (FNH) of the liver.
  • Understand the safe principles for observation and the roles of resection and interventional embolization in the management of liver adenoma.
  • Understand the true incidence, associated risk factors and etiology of malignant progression of hepatocellular adenomas as detailed through a systematic review of over 1600 cases.
  • Evaluate outcomes of hepatectomy when indicated for benign liver lesions.
  • Understand why minimally-invasive hepatectomy is safe and applicable in experienced hands for benign liver lesions based on Level I data.