<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902025000201705</article-id>
<article-id pub-id-type="doi">10.29193/rmu.41.2.11</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hepatectomía atípica laparoscópica por hemangioma hepático gigante: reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Laparoscopic atypical hepatectomy for giant hepatic hemangioma: a case report]]></article-title>
<article-title xml:lang="pt"><![CDATA[Hepatectomia atípica laparoscópica por hemangioma hepático gigante: relato de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Elicegui]]></surname>
<given-names><![CDATA[Valentina]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pontillo]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tasende]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Haab]]></surname>
<given-names><![CDATA[Julieta]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="A">
<institution><![CDATA[,Círculo Católico de Obreros del Uruguay Departamento de Cirugía General ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>41</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902025000201705&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902025000201705&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902025000201705&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: los hemangiomas hepáticos son los tumores hepáticos benignos más comunes. Son generalmente asintomáticos y de pequeño tamaño. Sin embargo, los hemangiomas gigantes pueden causar síntomas y complicaciones, requiriendo tratamiento quirúrgico.  Objetivo: presentar el caso de un paciente portador de hemangioma hepático gigante sintomático tratado con hepatectomía atípica laparoscópica.  Materiales y métodos: paciente masculino de 57 años que presentó cuadro de dolor en hipocondrio izquierdo de larga evolución. Los estudios de imagen (ecografía, tomografía computarizada y resonancia magnética) revelaron un hemangioma gigante en los segmentos II y III del hígado. Se realizó una hepatectomía atípica por abordaje laparoscópico con resección de los segmentos afectados. El análisis anatomopatológico confirmó un hemangioma cavernoso.  Resultados: la cirugía fue exitosa y la pieza extirpada confirmó el diagnóstico. La recuperación postoperatoria fue favorable.  Discusión y conclusiones: la mayoría de los tumores hepáticos benignos son asintomáticos y se diagnostican por métodos de imágenes solicitados por otra causa. Se presentó el caso del paciente con síntomas asociados al gran tamaño del tumor y dolor en hipocondrio izquierdo, lo que hace crucial la cirugía. La resolución quirúrgica por abordaje laparoscópico de algunos tumores hepáticos benignos, como el hemangioma emergente expuesto, es posible y segura. Proporciona ventajas como menor invasividad y recuperación rápida, destacando la importancia de un enfoque quirúrgico personalizado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: hepatic hemangiomas are the most common benign liver tumors. They are generally asymptomatic and small in size. However, giant hemangiomas can cause symptoms and complications, requiring surgical treatment.  Objective: to present a case of a patient with a symptomatic giant hepatic hemangioma treated with laparoscopic atypical hepatectomy.  Materials and methods: a 57-year-old male patient presented with long-standing left hypochondrial pain. Imaging studies (ultrasound, computed tomography, and magnetic resonance imaging) revealed a giant hemangioma in liver segments II and III. An atypical hepatectomy was performed via a laparoscopic approach, with resection of the affected segments. Histopathological analysis confirmed a cavernous hemangioma.  Results: the surgery was successful, and the resected specimen confirmed the diagnosis. The postoperative recovery was favorable.  Discussion and conclusions: most benign liver tumors are asymptomatic and are diagnosed incidentally through imaging studies requested for other reasons. This case involved a patient with symptoms associated with the tumor&#8217;s large size, presenting with left hypochondrial pain, making surgery crucial. Laparoscopic surgical management of certain benign liver tumors, such as the reported hemangioma, is feasible and safe. It offers advantages such as minimal invasiveness and rapid recovery, highlighting the importance of a personalized surgical approach.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: os hemangiomas hepáticos são os tumores benignos mais comuns do fígado. Geralmente são assintomáticos e de pequeno tamanho. No entanto, os hemangiomas gigantes podem causar sintomas e complicações, exigindo tratamento cirúrgico.  Objetivo: apresentar um caso de um paciente com hemangioma hepático gigante sintomático tratado com hepatectomia atípica laparoscópica.  Materiais e métodos: paciente do sexo masculino, 57 anos, com quadro de dor em hipocôndrio esquerdo de longa evolução. Os exames de imagem (ultrassonografia, tomografia computadorizada e ressonância magnética) revelaram um hemangioma gigante nos segmentos II e III do fígado. Foi realizada uma hepatectomia atípica por via laparoscópica, com ressecção dos segmentos afetados. A análise anatomopatológica confirmou um hemangioma cavernoso.  Resultados: a cirurgia foi bem-sucedida, e a peça removida confirmou o diagnóstico. A recuperação pós-operatória foi favorável.  Discussão e conclusões: a maioria dos tumores hepáticos benignos são assintomáticos e são diagnosticados incidentalmente por exames de imagem solicitados por outras razões. Este caso envolveu um paciente com sintomas associados ao grande tamanho do tumor, apresentando dor em hipocôndrio esquerdo, tornando a cirurgia crucial. O tratamento cirúrgico laparoscópico de alguns tumores hepáticos benignos, como o hemangioma relatado, é viável e seguro. Proporciona vantagens como menor invasividade e recuperação rápida, destacando a importância de uma abordagem cirúrgica personalizada.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hemangioma hepático]]></kwd>
<kwd lng="es"><![CDATA[Hepatectomía laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[Tumor hepático]]></kwd>
<kwd lng="es"><![CDATA[Cirugía hepática]]></kwd>
<kwd lng="en"><![CDATA[Hepatic hemangioma]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopic hepatectomy]]></kwd>
<kwd lng="en"><![CDATA[Liver tumor]]></kwd>
<kwd lng="en"><![CDATA[Liver surgery]]></kwd>
<kwd lng="pt"><![CDATA[Hemangioma hepático]]></kwd>
<kwd lng="pt"><![CDATA[Hepatectomia laparoscópica]]></kwd>
<kwd lng="pt"><![CDATA[Tumor hepático]]></kwd>
<kwd lng="pt"><![CDATA[Cirurgia hepática]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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