Abstract
Purpose: All patients with a diagnosis of hepatic hemangioma who underwent enucleation between January 2000 and January 2004 were reported.
Material and Methods: Demographics, biochemical values, diagnostic studies, lesion characteristics, operative time, blood loss, mortality and morbidity, and outcomes were analyzed.
Results: Locations were the right lobe in 10 cases, the left lobe in two and both lobes in two. The size of hemangiomas ranged from eight cm to 13 cm in diameter. There was no mortality, and one morbidity. No recurrence of hemangioma was observed.
Conclusion: Although enucleation seems a safe procedure for the treatment of giant liver hemangiomas, and is the preferential technique of the authors, it should always be kept in mind that it is not a simple procedure and blood and blood products may be necessary during the surgery.
Keywords:
hemangioma, liver, enucleation
References
1Yoon SS, Charny CK, Fong Y, Jarnagin WR, Schwartz LH, Blumgart LH, DeMatteo RP. Diagnosis, management and outcomes of 115 patients with hepatic hemangioma. J Am Coll Surg 2003; 197: 392-402.
2Danet IM, Semelka RC, Braga L, Armao D, Woosley JT. Giant hemangioma of the liver: MR imaging characteristics in 24 patients. Magne Reson Imaging 2003; 21: 95-101.
3Popescu I, Ciurea S, Brasoveanu V, Hrehoret D, Boeti P, Georgescu S, Tulbure D. Liver hemangioma revisited: current surgical indications, technical aspects, results. Hepatogastroenterology 2001; 48: 770-6.
4Ozden I, Emre A, Alper A, Tunaci M, Acarli K, Bilge O, Tekant Y, Ariogul O. Long-term results of surgery for liver hemangiomas. Arch Surg 2000; 135: 978-81
5Borgonovo G, Razzetta F, Arezzo A, Torre G, Mattioli F. Giant hemangiomas of the liver: surgical treatment by liver resection. Hepatogastroenterology 1997; 44: 231-4.
6Pietrabissa A, Giulianotti P, Campatelli A, Di Candio G, Farina F, Signori S, Mosca F. Management and follow-up of 78 giant hemangiomas of the liver. Br J Surg 1996; 83: 915-8
7Makhlouf HR, Ishak KG. Sclerosed hemangioma and sclerosing cavernous hemangioma of the liver: a comparative clinicopathologic and immunohistochemical study with emphasis on the role of mast cells in their histogenesis. Liver 2002; 22: 70-8.
8Trastek VF, Van Heerden JA, Sheedy PF, Adson MA. Cavernous hemangiomas of the liver: resect or observe? Am J Surg 1983; 145: 49-53
9Corigliano N, Mercantini P, Amodio PM, Balducci G, Caterino S, Ramacciato G, Ziparo V. Hemoperitoneum from a spontaneous rupture of a giant hemangioma of the liver: report of a case. Surg Today 2003; 33: 459-63 Review.
10Farges O, Daradkeh S, Bismuth H. Cavernous hemangiomas of the liver: Are there any indications for resection? World J Surg 1995; 19: 19-24.
11Sewell JH, Weiss K. Spontaneous rupture of hemangioma of the liver. A review of the literature and presentation of illustrative case. Arch Surg 1961; 83: 729-33.
12Hochwald SN, Blumgart LH. Giant hepatic hemangioma with Kasabach-Merritt syndrome: is the appropriate treatment enucleation or liver transplantation? HPB Surg 2000; 11(6): 413-9
13Kuo PC, Lewis WD, Jenkins RL. Treatment of giant hemangiomas of the liver by enucleation. J Am Coll Surg 1994; 178: 49-53
14Demiryurek H, Alabaz O, Agdemir D, Sungur I, Erkocak EU, Akinoglu A, Alparslan A, Zorludemir S. Symptomatic giant cavernous haemangioma of the liver: is enucleation a safe method? A single institution report. HPB Surg 1997; 10(5): 299-
15Alper A, Ariogul O, Emre A, Uras A, Okten A. Treatment of liver hemangiomas by enucleation. Arch Surg 1988; 123: 660-1
