Surgical Management for Giant liver Hemangiomas Greater Than 20 cm in Size

Hui Jiang; Zheyu Chen; Pankaj Prasoon; Hong Wu; Yong Zeng

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자료유형: 학술저널

저자정보: Hui Jiang Zheyu Chen Pankaj Prasoon Hong Wu Yong Zeng

저널정보: 거트앤리버 발행위원회 Gut and Liver Gut and Liver 제5권 제2호

발행연도: 2011.1

수록면: 228 - 233 (6page)

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Background/Aims: The aim of this study was to investigate the primary management experience for giant liver hemangiomas greater than 20 cm in size. Methods: Records of patients referred for evaluation of radiologically and/or histopathologically proven giant liver hemangiomas between January 2007 and March 2010 were retrospectively analyzed. The reasons for referral, results of imaging studies, preoperative and surgical treatments, and outcome were reviewed. Results: A retrospective analysis was performed for 14patients diagnosed with a giant hemangioma on the basis of an imaging study and/or a histopathological examination. All cases were diagnosed as giant liver hemangioma with at least one lesion greater than 20 cm in size. Abdominal discomfort was the main presenting complaint for the referral in 9 patients (64.2%). Abdominal ultrasound established the diagnosis in 12 patients (85.7%). Twelve patients underwent liver resection, 2 of whom underwent staged resection. Enucleation was performed in 2 patients. Selective transcatheter arterial embolization was implemented in 9 patients. Postoperative morbidity occurred in 3 patients (21.4%). No complications related to the hemangiomas occurred during follow up. Conclusions: Liver resection is indicated for giant liver hemangiomas with abdominal discomfort, especially for lesions greater than 20 cm in size. Staged operations are performed for patients with multiple lesions. Preoperative selective transcatheter arterial embolization alleviates progressive abdominal pain.

#Liver hemangioma #Liver resection #Transcatheter arterial embolization

참고문헌 (16)

참고문헌 신청

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