title: Giant hemangiomas: effects of size and type of surgical procedure on postoperative outcome.
abstract: OBJECTIVE
  Controversies still exist regarding the management of giant hemangiomas. The purpose of this study was to evaluate in a retrospective manner the effects of size and type of surgical procedures on early postoperative results.
  
  
  METHODS
  Between January 2000 and January 2011, a total of 82 patients underwent surgery. Patients were divided into 2 groups; according to size (Group 1 >10cm and Group 2 ≤10cm) and the selected operative procedure.
  
  
  RESULTS
  When the patients were compared according to size of the lesions, the operation time was significantly longer (p=0.01) and the amount of blood loss was significantly higher (p=0.04) in hemangiomas >10cm. If the patients were compared according to type of the surgical procedure, hepatic resection was more frequently preferred in bilobar and left lobe localized lesions, whereas enucleation was significantly more chosen in lesions localized to the right lobe (p=0.01).
  
  
  CONCLUSIONS
  Size of the hemangioma did not alter selection of the surgical procedure in this series. Larger hemangiomas are associated with longer operation time and more blood loss. Surgical results after enucleation and resection are similar. Although enucleation seems preferable, it is not an easy procedure, and may result in severe bleeding.
authors.forename: Murat
authors.initials: M
authors.lastname: Ulas
authors.forename: Ilter
authors.initials: I
authors.lastname: Ozer
authors.forename: Erdal Birol
authors.initials: EB
authors.lastname: Bostancil
authors.forename: Kerem
authors.initials: K
authors.lastname: Karaman
authors.forename: Tahsin
authors.initials: T
authors.lastname: Dalgic
authors.forename: Erdal
authors.initials: E
authors.lastname: Polatl
authors.forename: Metin
authors.initials: M
authors.lastname: Ercan
authors.forename: Yusuf Bayram
authors.initials: YB
authors.lastname: Ozogul
authors.forename: Musa
authors.initials: M
authors.lastname: Akoglul
mesh_terms: D016063:Blood Loss, Surgical; D004564:Electrocoagulation / Q000009:adverse effects; D005260:Female; D006391:Hemangioma / Q000473:pathology* / Q000601:surgery*; D006498:Hepatectomy / Q000009:adverse effects; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D018579:Patient Selection; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D047368:Tumor Burden