OUTCOME OF SURGERY OF LIVER HEMANGIOMA AT VIETDUC UNIVERISTY HOSPITAL
Main Article Content
Abstract
Objectives: To describe the clinical, paraclinical and surgical results of liver hemangiomas at Vietduc University Hospital. Subjects and methods: A cross-sectional study on 69 patients diagnosed with large liver hemangiomas with indications for surgery from January 2015 to December 2020 at the Vietduc University Hospital. Results and conclusions: In 69 patients with liver hemangiomas, 85.5% were admitted to hospital due to abdominal pain, on ultrasound, 78.58% had hyperechoic images after the tumor, on computed tomography before injection. Contrast is mainly a homogenous decrease in density (96.9%), there is no case of increase in density before injection. After treatment, most of the patients improved their symptoms (94.2%), of which 82.6% were symptom free and 11.6% had improvement. There were 91% with good postoperative results, including cases with no complications or grade I complications requiring only post-operative care and medical treatment.
Article Details
Keywords
outcome of surgery, liver hemangioma
References
2. Erdogan D, Busch OR, van Delden OM, et al. Management of liver hemangiomas according to size and symptoms. J Gastroenterol Hepatol. Nov 2007;22(11):1953-8. doi:10.1111/j.1440-1746.2006.04794.x
3. Evans J, Willyard CE, Sabih DE. Cavernous Hepatic Hemangiomas. StatPearls. 2021.
4. Farges O, Daradkeh S, Bismuth H. Cavernous hemangiomas of the liver: are there any indications for resection? World J Surg. Jan-Feb 1995;19(1):19-24. doi:10.1007/BF00316974
5. Abdel Wahab M, El Nakeeb A, Ali MA, et al. Surgical Management of Giant Hepatic Hemangioma: Single Center's Experience with 144 Patients. J Gastrointest Surg. May 2018;22(5):849-858. doi:10.1007/s11605-018-3696-y
6. Starzl T.E, et al. Excisional treatment of cavrernous hemangioma of the liver. Ann Surg Oncol. 1980;192(1):25-27.
7. Đoàn Ngọc Giao. Nghiên cứu chẩn đoán, chỉ định phẫu thuật và kết quả điều trị u máu gan ở người lớn. Học Viện Quân Y; 2009.
8. Moctezuma-Velazquez C, Lopez-Arce G, Martinez-Rodriguez LA, et al. Giant hepatic hemangioma versus conventional hepatic hemangioma: clinical findings, risk factors, and management. Rev Gastroenterol Mex. Oct-Dec 2014;79(4):229-37. doi:10.1016/j.rgmx.2014.08.007
9. Lerner S.M. et al. Giant cavernous liver hemangiomas: effect of operative approach on outcome. Arch Surg. 2004;139(818-823)