肝海绵状血管瘤48例的手术治疗体会

目的:探讨肝海绵状血管瘤的手术指证和手术方法。方法:回顾性分析采用手术治疗48例肝海绵状血管瘤病人资料,对手术指证、手术方式选择及治疗效果、并发症进行讨论。结果:48例病人中,32例采用肝叶(段)切除,12例采用血管溜摘除术,瘤体缝扎术、肝动脉结扎或/和栓塞术等方法4例。17例出现手术并发症,以胸腔积液多见。结论:直径大于5cm的肝海绵状血管瘤应考虑手术治疗并根据病变大小、部位、全身情况,选择不同的手术方法,以肝叶(段)切除、血管瘤摘除术疗效最佳。

Surgical Treatment Experience on 48 Cases of the Cavernous Liver Hemangioma

Objective:To investigate surgical indications and various management for the hepatic cavernous hemangioma.Methods:A total of 48 cases of the hepatic cavernous hemangioma,treated surgically,were reviewed retrospec- tively.Results:32 patients underwent hepatic lobectomy or segmentectomy,12 patients were treated with the bemansioma enu- cleation.The operative complications occurred in 17 cases.The pleural effusions and subphrenic collection were the common complications.Conclusion:Surgical management is indicated for the hepatic cavernous hemangioma mere than 5 cm.The choice of operation model should be adoptd lying on the lesion size,location and patient' systemic situation.Hepatic segmenteco- my and bemangioma enucleation are the effective surgical methods.