A Comparative Study Of Surgical Resection Versus Arterial Embolization For The Treatment Of Hepatic Hemangioma(102Cases Report)

Objective: The purpose of this article is to compare therapevtic arterialembolization and surgical resection and to investigate selection of therapeuticmethods.Methods: we statistical analyze all the102cases of hepatic hemangioma fromJanuary2013to December2013in First Hospital of Jilin University. Of the102cases,41cases had surgical resection and61cases had therapevtic arterialembolization. We study the cases by statistics analysis gender, age, tumor diameter,number of lesion, location and clinical presentation etc. Compare duration ofsurgery, hospitalization, overall cost for hospitalization, complication postoperativeand adverse events of the different treatment methods.Results: In total, there were30men and72women. Median patient age was43.8years(range:1-72years). In102of these patients,33patients were diagnosedwith hemangiomas lager than10cm and3patients had a hemangioma that waslarger than15cm. The lagerest one was17.2cm. The difference of duration ofsurgery (124.54±35.334vs55.56±15.556), hospitalization (8.04±2.524vs5.73±1.112), overall cost for hospitalization (35767.76±7558.95vs15679.44±4256.48) ofthe two treatment methods-surgical resection and therapevtic arterial embolizationhad statistical significance(P<0.05). The early postoperative complications of thesurgical resection is more than the therapevtic arterial embolization, however thelate postoperative complications of the surgical resection is less. There was nopatients underwent surgical resection recurrent, but there were a few patients whichunderwent therapevtic arterial embolization recurrent.Conclusion: The hepatic hemangiomas is the most common benign tumor ofthe liver. The majority of patients with liver hemangioma can be safely managed byclinical observation. The treatment of hepatic hemangioma should follow theindividual character. The choice of treatment is based on systemic symptom ofpatients, the number and location of the tumor. Surgical resection is often the firstchoice for the single and large hemangioma, or multiple tumors in the same hepatic lobe. We should choice laparoscopic hepatectomy or open hepatectomy according tothe size and location of tumors. We should choose therapevtic arterial embolizationwhen the patient were in worse physical condition, or multiple tumors which areclose to important structures render the surgical resection of high risk. However theweakness of therapevtic arterial embolization is as following: recurrence and severlate postoperative complications.