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KMID : 0870420020060010033
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2002 Volume.6 No. 1 p.33 ~ p.37
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Retrospective Study of Surgical Treatment of Cavernous Hemangioma of the Liver
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Choi Dong-Ho
Kim Han-Joon
Lee Kyeong-Geun
Park Hwon-Kyum
Lee Kwong-Soo
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Abstract
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Background/Aims: Cavernous hemangioma is the most common benign tumor of the liver. The indications for operating on these lesions also remain unclear. To address these points, the clinical data of patients with hepatic hemangioma treated with surgical resections at our hospital were reviewed retrospectively.
Methods: We reviewed the clinical records of nineteen patients with hepatic hemangiomas who had undergone hepatic resection from January, 1985 to February, 2002 at Hanyang University Hospital.
Results: There were 19 patients, whose mean age was 46.7 years. The ages ranged from 34 years-64 years. There were 9 male patients and 10 female patients. The ratio of male and female was 1:1.1. Major symptoms were right upper quadrant pain, mass, epigastric pain, and non-specific GI symptoms. 14 cases of anatomical resections (6 right lobectomy, 3 left lobectomy, 5 left lateral segmentectomy) and 5 non anatomical resections were done. There were no postoperative deaths in this series. 6 patients (31.5%) developed operative complications. All of them were minor complications. During the mean follow up time of 87.8 months, symptomatic relief were achieved in 12 patients out of 14 patients who we could contact with outpatient follow up or telephone interview. One patient died of massive pleural effusion 4 years after operation.
Conclusion: Hepatic resection in patients who had cavernous hemangioma in the liver was safe and effective treatment modality if patients were selected with suitable indications. Operation indications were severe symptoms, diagnostic uncertainty.
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KEYWORD
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Cavernous hemangioma, Surgical treatment
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