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Surgical treatment for giant liver hemangioma: an expeience on 119 cases / 中华普通外科杂志
Chinese Journal of General Surgery ; (12): 298-301, 2018.
Article in Chinese | WPRIM | ID: wpr-710537
ABSTRACT
Objective To summarize the experience of surgical treatments for giant liver hemangioma.Methods A retrospective study was made on the clinical data of patients with liver hemangioma larger than 10 cm in diameter,which were divided into two groups (10-< 20 cm,88 cases,≥ 20 cm,31 cases).Data included age and gender,presentation,treatment methods,peri-operative indexes,and complications.Results All patients complained symptoms,the average diameter was (16 ± 7) cm.There were 23,7,and 17 cases respectively with anemia,thrombocytopenia and hypofibrinogenemia,all were more often seen in ≥20 cm group (P < 0.001).Five patients were diagnosed as Kasabach-Merritt syndrome in ≥20 cm group.Patients in ≥20 cm group also had greater rates of compression of the porta hepatis (P < 0.001).Patients in ≥ 20 cm group were treated more often by hepatic resections,while enucleations was often done in 10-<20 cm group.The ≥20 cm group had more blood loss (P <0.001)and autologous transfusion (P < 0.001),greater rates of blood transfusion (P < 0.001).There was no significant difference on morbidity between the two groups (P =0.194).Conclusions For giant liver hemangioma both enucleation and hepatic resection could be completed safely in experienced hands.

Full text: Available Index: WPRIM (Western Pacific) Type of study: Observational study Language: Chinese Journal: Chinese Journal of General Surgery Year: 2018 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Type of study: Observational study Language: Chinese Journal: Chinese Journal of General Surgery Year: 2018 Type: Article