Surgical Approach in Liver Hemangiomas with Special Emphasis on Lesion Diameter and Type of Surgery: A Retrospective Cohort of 69 Patients

Authors : Elvan Onur KIRIMKER, Süleyman Utku ÇELİK, Deniz KÜTÜK, Şiyar ERSÖZ, Can KONCA, Mehmet Ali KOÇ, Acar TÜZÜNER, Mehmet Kaan KARAYALÇIN, Deniz BALCI

Pages : 119-124

View : 38 | Download : 19

Publication Date : 2023-03-17

Article Type : Research Paper

Abstract :Purpose: Liver hemangioma insert ignore into journalissuearticles values(LH); being the most common benign tumor of the liver is a rare indication for liver surgery. Indications include symptomatic disease, diagnostic suspicion of malignancy, increase in lesion size, and Kasabach-Merritt syndrome. Surgical treatment mainly consists of enucleation or liver resection insert ignore into journalissuearticles values(LR);. The study aimed to evaluate surgical outcomes in patients with LHs. Methods: In this study, surgical treatment for liver hemangioma in a single center were retrospectively reviewed. Demographics, preoperative and postoperative laboratory values, imaging studies, and follow-up data of patients were collected. Results: The mean age was 51.9±11.0 years and 69.6% were female. Abdominal pain was present preoperatively in 32 insert ignore into journalissuearticles values(46.4%); cases. Mean lesion diameter was 7.5 insert ignore into journalissuearticles values(1.2-20); cm. Giant hemangioma was reported in 54 insert ignore into journalissuearticles values(78.3%); patients. Liver resection insert ignore into journalissuearticles values(LR); and enucleation were preferred for 37 insert ignore into journalissuearticles values(53.6%); and 32 insert ignore into journalissuearticles values(46.4%); patients, respectively. Intraoperative transfusion requirement was more common in enucleation than LRs insert ignore into journalissuearticles values(78.1% vs. 48.6%, p=0.012);. Intraoperative erythrocyte transfusion was more frequently in operations of giant hemangiomas insert ignore into journalissuearticles values(68.5% vs. 40.0%, p=0.044);. Complications were observed more frequently in giant hemangioma group regardless of grades insert ignore into journalissuearticles values(40.7% vs. 13.3%, p=0.049);. Preoperative thrombocytopenia was found more frequent in cases with serious complications insert ignore into journalissuearticles values(66.7% vs 22.2%, p=0.019);. Conclusion: Emerging percutaneous intervention and imaging modalities are expected to decrease number of surgeries for liver hemangiomas. Although enucleation, LR and even liver transplantation are still required for a set of patients. Enucleation and LR have similar outcomes, but transfusions are more common according to the present study. Size of LHs is related with complications and transfusion requirements.
Keywords : hemangioma, liver resection, enucleation