LAPAROSCOPIC SLEEVE GASTRECTOMY AND LARGE HEPATIC HEMANGIOMA RESECTION
Alec Haas, Sergio Bardaro*, clara M. Lai, MetroHealth M. Center, Alec Haas, Alec Haas, Alec Haas, Alec Haas
Case Werstern Reserve University - MetroHealth System, Shaker Heights, OH
We present a 53 y/o female with morbid obesity (BMI 57) with multiple comorbidities as well as GERD and h/o postprandial epigastric pain. Previous CT showed a left hepatic exophytic mass. Subsequent MRI showed to be a cavernous hemangioma ( approximately 6 cm in diameter). The hemangioma was overlying the GEJ. We planned for a simultaneous laparoscopic liver resection and sleeve gastrectomy. However, during the procedure we also observed a hiatal hernia as well as an umbilical hernia that we repaired simultaneously. We consider that simultaneous advanced complex operations are safe in combination with bariatric surgery, when performed by an experience team in a tertiary care center.
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