[Surgical treatment of giant hemangiomas of the liver].

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  • Additional Information
    • Transliterated Title:
      Nagyméretú májhaemangiomák sebészi kezelése.
    • Source:
      Publisher: Ifjúsági Lapkiadó Vállalat Country of Publication: Hungary NLM ID: 18420110R Publication Model: Print Cited Medium: Print ISSN: 0025-0295 (Print) Linking ISSN: 00250295 NLM ISO Abbreviation: Magy Seb Subsets: MEDLINE
    • Publication Information:
      Original Publication: Budapest, Ifjúsági Lapkiadó Vállalat.
    • Subject Terms:
      Hemangioma/*pathology ; Hemangioma/*surgery ; Liver Neoplasms/*pathology ; Liver Neoplasms/*surgery; Adult ; Elective Surgical Procedures ; Female ; Hemangioma/diagnostic imaging ; Humans ; Liver Neoplasms/diagnostic imaging ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Retrospective Studies ; Tomography, X-Ray Computed ; Treatment Outcome
    • Abstract:
      Spontaneous rupture of liver hemangiomas is exceptional, they rarely increase in size. Elective surgery of liver hemangiomas is safe and effective. In our teaching hospital during a 5-year period 9 patients underwent elective surgery for giant liver hemangiomas, one more patient required urgent operation for spontaneous rupture. Indications for elective surgery were: abdominal pain in 5 patients, enlargement in 1 patient, and 3 patients were worried about the risk of rupture or having a tumor left in situ. The average age of our four male and six female patients was 44.5 years (30-58). The median largest dimension of the lesions was 8.5 cm (5.5-14); six of them located in the right, four in the left lobe. Enucleation was performed in most patients (8, mostly of them in the right lobe); anatomical resections were performed only in two cases (left lobectomy). There was no postoperative mortality, the only complication was mild pneumonia in one patient. Elective surgery is indicated only in a small number of patients with hemangiomas, it should be limited to giant, symptomatic tumors or those with a documented tendency to increase in size. The type of resection depends on the site and the size of the lesion. Enucleation can be performed rapidly and safely in most patients and as such it is preferable to anatomical resection.
    • Publication Date:
      Date Created: 20020607 Date Completed: 20020710 Latest Revision: 20161124
    • Publication Date:
      20221213
    • Accession Number:
      12049008