Symptomatic giant cavernous haemangioma of the liver: is enucleation a safe method? A single institution report.

H Demiryürek,I Sungur,D Ağdemir,A Akinoğlu,A Alparslan,S Źorludemir,Ö Alabaz,E U Erkoçak

doi:10.1155/1997/53453

Abstract

Twenty-three patients with symptomatic giant hemangioma of the liver were treated by surgery between 1979 and 1996 at the department of General Surgery, Faculty of Medicine, University of Çukurova. Twenty-three enucleations were performed in 21 patients, left lateral segmentectomy in one patient and enucleation plus left lobectomy in one patient. The tumors were enucleated along the interface between the hemangioma and normal liver tissue. The diameters of the tumors ranged from 5×5 to 25×15 cm. The mean blood loss for enucleations was 525 ml (range 500–1000 ml). There was no mortality and no postoperative bleeding. Three patients had postoperative complications. Enucleation is the best surgical technique for symptomatic giant hemangioma of the liver. It may be performed with no mortality, low morbidity and the preservation of all normal liver parenchyma.

Highlights

MATERIAL AND METHODSHemangiomas are probably the most common Between January 1979 and January 1996, 23 of all liver tumors, and the most frequent is patients underwent operations for symptomaticCorrespondence to: Associate Prof
The hemangiomas were solitary in 20 patients and multiple in 3 patients
Hemangiomas varied in size from 5x5 to 25x15 cm

Summary

A Single Institution Report

Twenty-three patients with symptomatic giant hemangioma of the liver were treated by surgery between 1979 and 1996 at the department of General Surgery, Faculty of Medicine, University of The tumors were enucleated along the interface between the hemangioma and normal liver tissue. The mean blood loss for enucleations was 525 ml (range 500-1000 ml). There was no mortality and no postoperative bleeding. Enucleation is the best surgical technique for symptomatic giant hemangioma of the liver. It may be performed with no mortality, low morbidity and the preservation of all normal liver parenchyma. The natural history of hemangiomas and the indications for surgical or conservative treatment are controversial. Enucleation of symptomatic giant cavernous hemangiomas of the liver is emerging as an alternative surgical technique. We report our personal experience with enucleation of liver hemangiomas over the last 16 years

MATERIAL AND METHODS

RESULTS

DISCUSSION