Surgical Treatment of Symptomatic Cavernous Hemangiomas of the Liver

Abstract

Elective surgery is indicated in a small subset of patients with hemangiomas because of abdominal pain, enlargement, diagnostic uncertainty and bleeding after needle biopsy. The results of surgery without any mortality and minimal morbidity are safe and effective. Enucleation is the preferred operation and can be performed rapidly and safely.

Traitement chirurgical des hémangiomes hépatiques

“…Les angiomes, très volumineux et inextirpables, peuvent bénéficier d'une radiothérapie à dose sclérosante [18,19]. Dans plus de 80 % des cas, elle permet une régression ou une stabilisation de la taille tumorale et une disparition des signes fonctionnels.…”

Laparoscopic Treatment of Liver Hemangioma

“…2,3,6,7 In a recent retrospective review, the complication rate was 11% and 44% in the hemangioma enucleation group and the liver resection group, respectively. Moreover, for the enucleation group, only minor complications were reported and there were no bile leaks.…”

“…Therefore, enucleation is preferable when technically feasible, whereas liver resection is indicated only for large and deeply located lesions and tumors occupying most of a lobe. 2,6,7 Despite the assumption that, in laparoscopic surgery, the same principles of open surgery should be applied, most reports on laparoscopic treatment of the disease describe laparoscopic resection, whereas only 4 reports in the international literature consider laparoscopic enucleation as the treatment of choice. In this report, a case of a liver hemangioma of segment 3 treated by laparoscopic enucleation is described, focusing in particular on the technical aspects of the procedure.…”

Spontaneous rupture of giant liver hemangioma: Case report

“…After emergency laparotomy, a large amount of blood (1800 ml) was evacuated from the peritoneal cavity. Exploration showed a ruptured and massively bleeding huge tumor in the right lobe of the liver (6,7,8), while the remaining liver was full of simple cysts. The patient had spontaneous rupture of the giant cavernous hemangioma of the liver.…”

“…Hemangioma is the most frequent benign solid tumor of the liver with 52% of all, often present in younger people, predominantly in the fifth decade, with overall prevalence in the general population estimated to range between 0.4-20% [1][2][3][4][5]. There are also reports that women are predominantly affected (4:1 to 6:1) [6]. Hemangioma may be defined as benign vascular tumors with unknown etiology, originates from the primary mesenchymal cells [4].…”