Surgical treatment for liver hemangioma        LIANG Ting-bo. Department of Hepatobiliary and Pancreas Surgery, the 1st Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China
Abstract    Liver hemangioma is the most common primary benign tumor of the liver with the incidence of 8% or so. For the operation indications, there are some controversies. Foreign surgeons depend on symptoms but domestic surgeons depend on the tumor size. The diameter more than 5 cm or quick growth is the indication of resection. The surgical methods include enucleation, regular or unregular liver lobes resection. Enucleation is a popular technique in the treatment of large liver hemangiomas because of a plane between lesion and liver exist. Blunt dissection along the plane makes it easy to remove the lesion safely and quickly. Main branches of portal veins and hepatic veins must be preserved in order to keep the inflow and outflow of remnant liver lobes patent. Bile leakage and transaction area bleeding are two common complications.