Objective: To determine the feasible resection approach for giant cavernous liver hemangiomas in close proxmity to the porta hepatis region. Methods: The clinical data of 35 patients with giant cavernous hemangiomas adjacent to the liver hilum undergoing surgical treatment from April 2008 to March 2012 were retrospectively analyzed. Results: The range of intraoperative blood loss of the entire group was 100–7 000 mL. Different methods of hepatic inflow occlusion and surgical procedures were performed according to the tumor location and size. Of the patients, 11 cases underwent Pringle maneuver, 9 cases underwent modified Pringle maneuver and 15 cases underwent hemihepatic vascular occlusion; 24 cases were treated by extracapsular enucleation, 10 cases by liver resection and 1 case by suture ligation. The associated complications occurred in 18 patients after surgery, and no surgical death occurred. Conclusion: The essential points in operation for the giant cavernous hemangiomas near to the liver hilum are control and management of bleeding, and preservation of the normal hepatic parenchyma as much as possible and in addition, the operation is safe and feasible under the proper hepatic inflow occlusion and resection methods.