Abstract:Objective
To discuss the experiences of surgical treatment of hepatic cavernous hemangioma in a peculiar position.
Methods We retrospectively analyzed the clinical data of 32 cases of cavernous hemangioma in the central area of the liver.
Results All of the hepatic cavernous hemangiomas were resected successfully by extracapsular dissection. Intraoperative hemorrhage volume varied from 50ml to 10000ml, and in 12 patients the amount of blood transfusion was 400ml to 4000ml. 5 cases (15.6%) had postoperative complications, including right pleural effusion(3 cases), bile leakage(1 case), and subdiaphragmatic fluid collection(1 case). The mortality rate was 3.1%（1/32）. 26 cases were followed up for a median of（3.09±0.93）yrs, and there was no recurrence of hemangioma.
Conclusions Familiarity with the liver anatomy and proficient operative methods are the key get to successful surgical treatment of these hemangiomas and reduce complications. Extracapsular dissection is a safe and effective way to treat hepatic cavernous hemangioma.