Real-world Study Of Hepatic Hemangioma In A Single Center,the First Affiliated Hospital Of Guangxi Medical University Data,2008 To 2017

Objective : The clinical epidemiological characteristics of hepatic hemangioma were studied by using the single-center real-world method,and the risk factors of complications after resection of hepatic hemangioma were emphasized.Methods : The first affiliated hospital of Guang Xi medical university in2016,2017 cases of the clinic and a medical center in the diagnosis of liver hemangioma,on January 1,2008,to January 1,2018 cases of hospitalized patients during the diagnosis of liver hemangioma were analyzed retrospectively,to analyze the epidemiology,clinical characteristics,discusses the hierarchical grouping according to the postoperative complications,discuss its postoperative complications related factorsResults : Among the 5266,670 out-patients,the detection rate was 0.089%(4675/5266,670),among which 0.040%(2099/5266,670)were males and0.049%(2576/5266,670)were females,mainly aged 41-60 years.Among the246,419 people,the detection rate was 1.217%(3,000/246,419),0.703%(1743/246,419)for males and 0.507%(1257/246,419)for females,mainly aged21-40.The data of hepatic hemangioma of the physical examination group were analyzed,including 1743 male patients(58.1%)and 1257 female patients(41.9%).The median age of the disease was 40(16-87)years old.The maximum diameter of the tumor was 1.3(0.4-9.9)cm.Among the 234 patients undergoing surgical resection of hepatic hemangioma(surgical rate: 11.8%,234/1981),there were 70 males(29.9%)and 164 females(70.1%).The median age was 44 years,among which 144 patients(61.54%)were the highest.The median tumor size was 8cm;The lesions were mostly distributed in the right liver(47.0%)and single(69.2%).The operative method was mainly open surgery(65.4%),the median operative time was 200 min,the median blood loss was 400 ml,and most patients(66.2%)had no intraoperative blood transfusion.Clavien-Dindo complications,6.8% patients Ⅲ magnitude complications,1.7% of patients experienced grade Ⅳ complications,liver failure ISGLS complications incidence 0.4% 12% incidence of grade A,grade B,hemorrhage 2.1% incidence of 3.8% incidence of grade A,grade B,no patients experienced postoperative biliary fistula and death.Univariate analysis of Clavien-Dindo complications showed that clinical symptoms,maximum tumor diameter,blood loss,blood transfusion,length of hospital stay,tumor distribution,hepatic portal blockade and treatment were statistically significant(P < 0.05).Further ordered Logistic regression analysis showed that treatment was associated with the occurrence of postoperative complications,with a statistically significant difference(P < 0.05),and was a risk factor for postoperative complications.Conclusions : Hepatic hemangioma is a common benign disease of the liver.The prevalence rate of male and female patients is similar in outpatient and inpatient patients,and most of them are from 40 to 60 years old.In a healthy population,most of the males are female,and most of them are between 21 and40 years old.The median tumor had a maximum diameter of 1.3 cm.Most of the lesions were located in the right lobe of the liver,and most of them were single lesions.Treatment and length of hospital stay were risk factors for complications after resection of hepatic hemangioma.