精准肝切除巨大肝血管瘤26例

Regular hepatic segmentectomy for giant hemangioma of the liver: an analysis of 26 cases

目的:探讨精准肝切除在巨大肝血管瘤治疗中的应用.方法:回顾性分析南京鼓楼医院2008-01/2010-12手术治疗26例巨大肝血管瘤临床资料.结果:26例均行精准的肝段或联合肝段切除术治疗,术中出血100-2600(平均775±132)mL.术中输血0-2200(平均为384±123)mL.4例出现不同程度并发症,其中胆漏1例,胸腔积液和(或)腹腔积液3例,均经保守治疗后短期治愈.全组无死亡.结论:对于基本占据肝叶及多肝段的巨大血管瘤可在严格把握适应证的情况下,行精准的肝段切除术治疗.

AIM： To evaluate the safety of regular hepatic segmentectomy for giant hemangioma of the liver. METHODS： The clinical data for patients with giant hemangioma of the liver who underwent surgical resection between January 2008 and December 2010 in Nanjing Drum Tower Hospital were analyzed retrospectively.RESULTS： A total of 26 patients were included in the study. All patients underwent regular hepatic segmentectomy. There were no deaths, but 4 patients developed complications. The intra-operative bleeding ranged from 100 to 2 600 mL （average, 775 mL ± 132 mL）, and intraoperative blood transfusion ranged between 0 and 2200 mL （average, 384 mL ± 123 mL）.CONCLUSION： Regular hepatic segmentectomy is safe in the management of giant hemangioma occupying the liver lobe or segment.