Abstract:

Objective:To determine the better choice of operative techniques for resection of the cavernous hepatic hemangioma. Methods:From January 1995 to December 2005,62 patients underwent the surgical removal of the cavernous hepatic hemangioma.Enucleation was used for 36 cases,and hepatectomy for 26 patients.The relative factors between the two different techniques were compared. Results:Enucleation was associated with fewer intraoperative bleeding,transfusion requirement and postoperative complication.And it was the only independent factor found by multiple analysis influencing postoperative complication. Conclusion:Enucleation was the first choice for resection of the cavernous hepatic hemangioma.

Key words: Cavernous hepatic hemangioma, Enucleation, Hepatectomy

摘要：

目的:探讨切除肝血管瘤应优先选择的手术方式。方法:1995年1月至2005年12月，共手术治疗62例肝血管瘤病人，其中36例行肝血管瘤剥除术，26例行肝切除术，将两者相关因素进行比较。结果:血管瘤剥除术手术过程中失血量以及输血量均明显少于肝切除术，术后并发症也明显减少。多因素分析显示，手术方式是影响术后合并症发生的惟一独立因素。结论:血管瘤剥除术是治疗肝血管瘤的首选手术方式。

关键词: 肝血管瘤, 剥除术, 肝切除术