Views On Treatment Of Hepatic Cavernous Hemangioma

objective To investigate selection of therapeutic methods, indications of operations, and experience of hepatectomy for the treatment of hepatic cavernous hemangioma. Methods The clinical data of 456 inpatients with hepatic cavernous hemangioma from 2003 to2004 were analyzed retrospectively. Results The average age of 456 inpatients was 45. About 60.5% of the patients were female. In the 456 patients with hepatic cavernous hemangioma, 260 (57.0%) were suffered with the solitary tumor (57.0%), and 196 (43.0%) were suffered with the multiple tumor (=2 tumors). Tumors in 220 cases (48.3%) located in the right lobe of liver, in 130 cases (28.5%) in the left lobe, in 12 cases (2.6 %) in the intermediate lobe , in 9 cases (2.0 %) in the caudate lobe, and in 85cases (18.6%) in both the left and the right, of which in 2 cases in the extended left lobe, and in 3cases in the extended right lobe. In 125 cases (27.4 %), diameters of the tumors are longer than 10cm. 391 patients were treated. 380 of the 391 patients were suffered hepatectomy, in which 49 patients were suffered primary-tumor-resection and other-tumor-transfixtion, 1 patient was suffered primary-tumor-resection and other-tumor-microwave cure, and 1 patient was suffered tumor partial-resection and tumor partial-transfixtion. 4 of the 391 patients were suffered tumor-transfixtion, 1 patient was suffered arteria hepatica ligature, and 6 patients were suffered arteria hepatica embolization. 65 inpatients were untreated. 1 of the 391 patients died of DIC caused by hemorrhage and complete atrioventricular block, which led to cardiac insufficiency after hepatectomy. The other patients recovered well. Conclusion Resection is the preferential treatment of hepatic cavernous hemangioma. Most of the hepatic cavernous hemangioma can be resected completely and safely. Arteria hepatica ligature, microwave cure, and arteria hepatica embolization can lead to not only imperfect effectiveness, but also the risk of severe complication. Their indications should be strictly controlled.