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[Surgical strategy in liver hemangiomas]
Insights
For hepatic hemangiomas under 5 cm without symptoms, conservative management is advised. Surgical intervention for hemangiomas is rarely needed, with hepatic artery embolization preferred over liver resection when surgery is necessary.
Area of Science:
- Hepatology
- Surgical Gastroenterology
- Vascular Lesions
Background:
- Hepatic hemangiomas are common benign liver tumors.
- Management strategies vary, impacting patient outcomes.
- Surgical intervention is reserved for specific indications.
Purpose of the Study:
- To analyze surgical treatment outcomes for hepatic hemangiomas.
- To evaluate long-term follow-up data for 129 patients.
- To define optimal management guidelines for hepatic hemangiomas.
Main Methods:
- Retrospective analysis of 129 patients with hepatic hemangiomas.
- Review of surgical treatment results.
- Assessment of 9-year follow-up data.
Main Results:
- Surgical treatment was required in only 10% of patients.
- Hepatic artery embolization was the preferred intervention when surgery was necessary.
- Liver resection indications were found to be limited.
Conclusions:
- Dynamic care is recommended for asymptomatic hemangiomas ≤5 cm.
- Surgical treatment for hepatic hemangiomas should be conservative.
- Embolization is a key strategy for managing symptomatic or large hemangiomas requiring intervention.
Abstract:
The authors made an analysis of results of surgical treatment of 129 patients with hepatic hemangiomas and of the 9-year follow-up of these patients. The dynamic care of these patients is recommended in cases of 5 cm diameter hemangiomas and the absence of clinical symptoms. The surgical treatment was necessary but in 10% of such patients. In the majority of such patients embolisation of the hepatic artery is expedient if surgical treatment is necessary. Indications for resection of the liver are restricted.