Extended Right Hepatectomy for Giant Hepatic Hemangioma: A Case Report

Liver hemangioma is the most common benign liver tumor, often discovered incidentally. Symptom development and complications underscore the need for surgical intervention. Managing hemangiomas larger than 20 cm is challenging because of the risk of perioperative complications. We report a case of a patient with compressive symptoms caused by a 20 cm liver hemangioma in the right hepatic lobe. An extended right hepatectomy was performed, yielding a favorable postoperative outcome. This case demonstrates that surgical treatment can be a safe and effective option for selected patients when performed at highly specialized centers, with outcomes comparable to those reported in the literature. It provides evidence that intraoperative surgical decision-making is essential for an appropriate outcome in cases of giant symptomatic hemangioma.