[Indications and results of surgical treatment of cavernous hemangioma of the liver].
Over a period of 6.5 years, 29 patients with liver hemangiomas have been examined. In 8 patients, the most frequent symptom was pain; in 11, a tumor was found. The diagnosis was made by means of scintigraphy with 99mTc, followed by real-time sonography, computed tomography using a contrast medium, and selective arteriography. In 16 patients (15 women, 1 man), the tumor radius was more than 6 cm and in 9 of these, more than 10 cm. In 3 patients, a left lobectomy was carried out, and in 5 a right lobectomy; in an additional 5 patients, a extended right lobectomy (three segments excised) was done. In the rest, a medial lobectomy, a segmentectomy on the left side, or a segmentectomy on the right was performed. The only complications observed in the whole series were: pleural effusion (1 case), subphrenic abscess (1), and transitory biliary fistula (1). All hemangiomas with a radius of more than 10 cm should be removed operatively, as should smaller symptomatic hemangiomas and tumors that are not clearly benign.
Moreno González
E
E
Abteilung für Magen-Darm-Chirurgie II, Ciudad Sanitaria 1 de Octubre,Madrid.
Landa Garcia
I
I
Calleja Kempin
J
J
Santoyo Santoyo
J
J
Gomez Gutierrez
M
M
Jover Navalón
J M
JM
Arias Diaz
J
J
Manrique
A
A
Vorwald Kuborn
P
P
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004912:Erythrocytes; D005260:Female; D005500:Follow-Up Studies; D006392:Hemangioma, Cavernous / Q000473:pathology / Q000601:surgery*; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D008099:Liver / Q000473:pathology; D008113:Liver Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013667:Technetium; D014057:Tomography, X-Ray Computed
D013667:Technetium
Indikationen und Resultate der chirurgischen Behandlung von cavernösen Hämangiomen der Leber.