Effective of laparoscopic treatment of hepatic hemangioma        JIN Xiao-jian, LU Bang-yu, CAI Xiao-yong, et al. Department of Minimally Invasive Surgery，the First Affiliated Hospital，Guangxi Medical University，Nanning 530021，China
Corresponding author: LU Bang-yu, E-mail: jj541@sohu.com
Abstract    Objective    To evaluate the feasibility and effective of laparoscopic treatment of hepatic hemangioma．Methods    The clinical data of 43 cases of laparoscopic treatment of hepatic hemangioma from November 2003 to October 2009 in the Department of Minimally Invasive Surgery，the First Affiliated Hospital of Guangxi Medical University were analyzed retrospectively．The portal blood stream was blocked by the home-made laparoscope portal blood blocker or semi-block. Electronic knife and ultrasound knife were used in hemangioma enucleation, hepatic left lateral lobectomy and partial excision. Results    Laparoscopic treatment of hepatic hemangioma was performed in 41 cases successfully．Conversion laparotomy was performed in two out of 43 (4.6%) cases for uncontrolled bleeding. There was no mortality. The tumor diameter was (6.24±2.87)cm. The  operating time was (125.27±74.76) min. The time of block was (11.27±14.11) min. The intraoperative blood loss was (285.5±425.04)mL. The volum of intraoperative blood transfusion was (1.22±2.57)u. The volume of postoperative drainage was (169.61±224.43)mL. The time taken to return to normal activity after operation was (2.20±0.99) days. The length of stay after operation was (8.5±3.6) days. The total length of stay was (17.5±7.4) days. The total outlay was (11441.6±9668.7) Yuan RMB. The postoperative complications were occurred in 2 (4.8%) cases, which were 1 case of bile leakage and 1 case of subhepatic abscess. The 2 cases were recovered after expectant treatment. Conclusion    Laparoscopic treatment of hepatic hemangioma is safe and feasible if suitable patients were selected and hepatic portal blood block technique was mastered by surgeons.