title: [Surgical treatment of liver haemangiomas in a third level hospital in south-east Mexico].
abstract: BACKGROUND
  Liver haemangiomas are the most common benign tumours, commonly presented in women and considered giant when their diameter surpasses 4cm. They are mostly asymptomatic and incidental findings. They manifest with abdominal pain and mass effect. These tumours can be managed by observation, enucleation, resection, and embolisation.
  
  
  OBJECTIVE
  To determine the experience in our unit as regards the treatment and post-surgical outcomes of patients with liver haemangiomas.
  
  
  METHODS
  A retrospective study was performed on 14 patients with a histopathological diagnosis of liver haemangioma. An analysis was made using the sociodemographic, tumour-related and surgical related variables, as well as any complications.
  
  
  RESULTS
  Of the 14 patients analyse, there were 7 males and 7 females, with a median age of 43.43±15.03 years, and a mean tumour size of 6.86±3.5cm. Eight (51.7%) of the tumours were located in the right lobe, 3 (21.4%) in the left lobe, and 3 (21.4%) in the caudate lobe. Resection was performed in 7 patients (50%), enucleation in 5 patients (35.7%), and biopsy in 2 patients (14.3). No relationship was found between sex, pathology, or tumour location. No morbidity or mortality was found.
  
  
  CONCLUSIONS
  Liver haemangiomas in our unit have similar characteristics to those described in other studies. Surgical treatment in our hospital offers a positive outcome.
authors.affiliation: Departamento de Cirugía General, Unidad Médica de Alta Especialidad, Hospital de Especialidades No. 14, Centro Médico Nacional Adolfo Ruiz Cortínez, Instituto Mexicano del Seguro Social, Veracruz, México.
authors.forename: Arturo Benjamín
authors.initials: AB
authors.lastname: Ortiz-Bayliss
authors.affiliation: Departamento de Cirugía General, Unidad Médica de Alta Especialidad, Hospital de Especialidades No. 14, Centro Médico Nacional Adolfo Ruiz Cortínez, Instituto Mexicano del Seguro Social, Veracruz, México. Electronic address: gmtzmier@hotmail.com.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Martínez-Mier
authors.affiliation: Departamento de Cirugía General, Unidad Médica de Alta Especialidad, Hospital de Especialidades No. 14, Centro Médico Nacional Adolfo Ruiz Cortínez, Instituto Mexicano del Seguro Social, Veracruz, México.
authors.forename: Rubén Antonio
authors.initials: RA
authors.lastname: Alvarado-Arenas
authors.affiliation: Departamento de Cirugía General, Unidad Médica de Alta Especialidad, Hospital de Especialidades No. 14, Centro Médico Nacional Adolfo Ruiz Cortínez, Instituto Mexicano del Seguro Social, Veracruz, México.
authors.forename: Francisco Antonio
authors.initials: FA
authors.lastname: Lajud-Barquín
mesh_terms: D000293:Adolescent; D000328:Adult; D001663:Bilirubin / Q000097:blood; D001706:Biopsy / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D006391:Hemangioma / Q000097:blood / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*; D006392:Hemangioma, Cavernous / Q000453:epidemiology / Q000601:surgery; D006498:Hepatectomy / Q000379:methods / Q000706:statistics & numerical data*; D006801:Humans; D008113:Liver Neoplasms / Q000097:blood / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D062606:Tertiary Care Centers / Q000706:statistics & numerical data; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D001663:Bilirubin
keywords: Enucleación; Enucleation; Haemangiomas; Hemangioma; Hemangioma hepático; Hepatic resection; Liver haemangiomas; Resección hepática