Hepatic Resection



The indications for hepatic resection in children include a wide variety of both benign and malignant conditions. Benign conditions include mesenchymal hamartoma, adenomas, focal nodular hyperplasia (FNH), vascular malformations, and biliary tract cystic disease. Malignant lesions most commonly include hepatoblastoma and hepatocellular carcinoma, but other rare lesions are occasionally found including angiosarcoma, rhabdomyosarcoma, and cholangiocarcinoma. Some lesions such as inflammatory myofibroblastic tumor are considered benign but have a propensity for locally invasive disease.


Portal Vein Hepatic Vein Remnant Liver Focal Nodular Hyperplasia Inflammatory Myofibroblastic Tumor 

Suggested Reading

  1. Blumgart LH, Fong Y, editors. Surgery of the liver and biliary tract. Philadelphia, PA: WB Saunders; 2000.Google Scholar
  2. Busuttil RW, Klintmalm GB, editors. Transplantation of the liver. Philadelphia, PA: Elsevier; 2005.Google Scholar
  3. Clavien P-A, Petrowsky H, DeOliveira ML, Graf R. Strategies for safer liver surgery and partial liver transplantation. N Engl J Med. 2007; 356(15):1545–59.CrossRefPubMedGoogle Scholar
  4. Orkin SH, Fisher DE, Look AT, Lux SMD, Ginsburg D, Nathan DG. Oncology of infancy and childhood. Philadelphia, PA: Elsevier; 2009.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of SurgeryPediatric Transplant Center, Harvard Medical Center, Children’s Hospital BostonBostonUSA

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