Surgical Treatment Of Giant Liver Hemangioma

Objective To investigate the application value of hepatectomy and enucleation of liver hemangioma in the resection of giant liver hemangioma, so as to provide guidance for the surgical treatment of giant liver hemangioma.Methods The medical records of 74 giant liver hemangioma patients in the hepatobiliary surgery department of Ningxia People’s Hospital and General Hospital of Ningxia Medical University from June 2010 to June 2015 were retrospectively analyzed, with 37 cases undergoing hepatectomy(hepatectomy group) and 37 cases undergoing enucleation of liver hemangioma(enucleation group). Preoperative general condition, duration of operation(h), intraoperative blood loss(ml), intraoperative blood transfusion volume(ml), duration of liver blood flow occlusion(min) and length of hospital stay(d) were compared between two groups. Postoperative complications in two groups such as pleural effusion, bile leakage and intra-abdominal hemorrhage were observed. Postoperative follow-up was performed to observe the improvement of symptoms and the recurrence of hemangioma.Results The duration of operation [(2.38±0.93)h], intraoperative blood loss [(889.19±756.37)ml], intraoperative blood transfusion volume [(723.78±801.14)ml], duration of liver blood flow occlusion [(22.48±10.87)min] and length of hospital stay [(14.84±3.24)d] in enucleation group were all lower than the duration of operation [(3.26±1.16)h)], intraoperative blood loss [(1551.35±1755.88)ml], intraoperative blood transfusion volume [(1693.24±2117.72)ml], duration of liver blood flow occlusion [(26.84±17.30)min] and length of hospital stay [(16.19±5.01)d] in hepatectomy group, and the difference was statistically significant(P < 0.05). The incidence of pleural effusion in enucleation group was significantly lower than that in hepatectomy group, and the difference was statistically significant(P < 0.05). There was no statistically significant difference between two groups in complications such as bile leakage, intra-abdominal hemorrhage and death(P>0.05). There was also no statistically significant difference in mortality, improvement of symptoms and recurrence of hemangioma during postoperative follow-up.Conclusion Hepatectomy and enucleation of liver hemangioma are both effective procedures for the treatment of giant liver hemangioma. Enucleation of liver hemangioma is superior to hepatectomy in duration of operation, intraoperative blood loss, intraoperative blood transfusion volume, duration of liver blood flow occlusion and length of hospital stay, and it has low incidence of postoperative complications. Enucleation of liver hemangioma is a more safe, simple and efficient procedure, and is worthy of wide application in clinical work.