Surgical indications and management for the hepatic cavernous hemangioma

Objective To investigate surgical indications and various management for the hepatic cavernous hemangioma. Methods A total of 48 cases of the hepatic cavernous hemangioma,treated surgically,were reviewed retrospectively. Results 32 patients underwent hepatic lobectomy or segmentectomy,12 patients were treated with the hemangioma enucleation.The operative complications occurred in 17 cases.The pleural effusions and subphrenic collection were the common complications. Conclusion Surgical management is indicated for the hepatic cavernous hemangioma more than 5 cm.The choice of operation model should be adopted lying on the lesion size,location and patient′ systemic situation.Hepatic segmentecomy and hemangioma enucleation are the effective surgical methods.