紧邻肝门巨大肝海绵状血管瘤51例手术治疗体会

目的 探讨紧邻肝门的巨大肝海绵状血管瘤的手术治疗。方法 回顾性分析中国医科大学附属盛京医院1997年3月至2007年10月手术治疗的51例紧邻肝门的巨大肝海绵状血管瘤的临床资料。结果 血管瘤包膜外剥除29例，肝切除19例，缝扎3例。术中平均失血量（1085±1539） mL，22例出现不同程度并发症，全组无手术死亡。结论 手术治疗紧邻肝门的巨大肝海绵状血管瘤是安全的、切实可行的，方法首选血管瘤包膜外剥除术。对限于半肝或尾状叶的病例可分别采用半肝或尾状叶切除。

Surgical treatment of giant cavernous hemangioma of the liver closely attached to porta hepatis: an analysis of 51 cases

Surgical treatment of giant cavernous hemangioma of the liver closely attached to porta hepatis: an analysis of 51 cases XU Feng，DAI Chao-liu，JIA Chang-jun，et al. Department of General Surgery, Shengjing Hospital, China Medical University, Shenyang 110004，China Corresponding author:DAI Chao-liu, E-mail:daicl-sy@tom.com Abstract Objective To analyze the surgical treatment for giant cavernous hemangima of the liver closely attached to porta hepatis. Methods The clinical data of 51 cases of giant hepatic cavernous hemangioma closely attached to porta hepatis performed surgical treatment between March 1997 and October 2007at Shengjing Hospital of China Medical University were analyzed retrospectively. Results Enucleation procedure was performed in 29 cases. Liver resection was performed in 19 cases. Suture and ligation was performed in 3 cases. The mean blood loss during intraoperative period was (1085±1539) mL, and complications occurred in 22 cases. There was no mortality. Conclusion Surgical management is safe and feasible for cavernous hemangioma of the liver. It recommend enucleation as the surgical procedure of choice for the treatment of hepatic hemangiomas. Limited to a half or caudate lobe of the liver cases can be performed hemihepatectomy or caudate lobe resection respectively.