Abstract:Objective:To study the diagnostic methods and feasibility of surgical treatment of giant hepatic cavernous hemangioma.
Methods :The clinical documents of 31 patients with giant hepatic cavernous hemangioma were retrospectively analyzed. All of the patients were examined with image technology before surgical operation. Among them, 16 patients were examined with B-US and MRI, 11 patients with B-US and CT, and 4 patients with B-US, CT and MRI; and 29 patients were confirmed as hepatic cavernous hemangioma (93.6%), but 2 patients were misdiagnosed as hepatic cancer (6.4%). All patients underwent radical surgical operation.
Results:There was no opeative death, and all these patients had successful resection of giant hepatic hemangioma. The average amount of hemorrhage and blood recovered from patients during operation was 800 mL (400-2 000 mL) and 600 mL (250-1 500 mL) respectively. Two patients suffered from biliary tract injury during operation; and after operation. 18 patients experienced pleural effussion, 6 patients had subphrenic fluid collection, 4 patients suffered from pneumonia.All patients were cured and discharged.
Conclusions:The most suitable preoperative examination for patients with giant hepatic hemangioma is B-US together with MRI. A detailed analysis of image data of hemangioma, a well designed operative plan and accurate management during operation are key points to successful operation.