Surgical treatment for giant liver hemangioma: an expeience on 119 cases
10.3760/cma.j.issn.1007-631X.2018.04.007
- VernacularTitle:巨大肝血管瘤119例外科治疗经验
- Author:
Li XU
1
;
Haidong TAN
;
Xiaolei LIU
;
Liguo LIU
;
Jia HUANG
;
Shuang SI
;
Yongliang SUN
;
Wenying ZHOU
;
Zhiying YANG
Author Information
1. 100029,北京中日友好医院肝胆外科
- Keywords:
Liver neoplasms;
Hemangioma;
Surgical procedures,operative
- From:
Chinese Journal of General Surgery
2018;33(4):298-301
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience of surgical treatments for giant liver hemangioma.Methods A retrospective study was made on the clinical data of patients with liver hemangioma larger than 10 cm in diameter,which were divided into two groups (10-＜ 20 cm,88 cases,≥ 20 cm,31 cases).Data included age and gender,presentation,treatment methods,peri-operative indexes,and complications.Results All patients complained symptoms,the average diameter was (16 ± 7) cm.There were 23,7,and 17 cases respectively with anemia,thrombocytopenia and hypofibrinogenemia,all were more often seen in ≥20 cm group (P ＜ 0.001).Five patients were diagnosed as Kasabach-Merritt syndrome in ≥20 cm group.Patients in ≥20 cm group also had greater rates of compression of the porta hepatis (P ＜ 0.001).Patients in ≥ 20 cm group were treated more often by hepatic resections,while enucleations was often done in 10-＜20 cm group.The ≥20 cm group had more blood loss (P ＜0.001)and autologous transfusion (P ＜ 0.001),greater rates of blood transfusion (P ＜ 0.001).There was no significant difference on morbidity between the two groups (P =0.194).Conclusions For giant liver hemangioma both enucleation and hepatic resection could be completed safely in experienced hands.
