尾状叶巨大海绵状血管瘤的外科处理

目的：探讨肝尾状叶巨大海绵状血管瘤的外科处理策略。 方法：回顾性分析4例肝尾状叶巨大海绵状血管瘤患者的临床治疗资料。 结果：术前将患者Child-Pugh评分均调整至A级，CT及三维立体重建检查，了解肿瘤与肝动、静脉及门静脉的关系；2例患者依照左右路径+前路劈肝路径切除，另2例行左半肝+尾状叶联合切除。患者均安全顺利地实行了肝尾状叶巨大血管瘤切除术，术后无严重并发症的发生。 结论：术前充分评估，术中精细操作，手术治疗肝尾状叶巨大血管瘤可取得满意疗效。

Surgical management of giant cavernous hemangioma of caudate lobe of liver

Objective: To discuss the surgical strategy of giant cavernous hemangioma of the caudate lobe of the liver. Methods: The clinical treatment data of 4 patients with giant cavernous hemangioma of hepatic caudate lobe were retrospectively analyzed. Results: In all patients, the liver function was improved to Child-Pugh A, and CT scan with three-dimensional reconstruction was performed before surgery, to examine the anatomical relations of the tumor with the hepatic artery, hepatic vein and portal vein. The tumors in two patients were resected via right or left approach plus anterior transhepatic approach, while the other two cases were treated by left hemihepatectomy plus caudate lobectomy. The giant cavernous hemangiomas in all patients were resected safely and successfully, and no serious postoperative complications occurred. Conclusion: With comprehensive preoperative assessment and meticulous intraoperative techniques, surgical treatment is effective for giant cavernous hemangioma of the caudate lobe of the liver.