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目的探讨紧邻肝门的巨大肝海绵状血管瘤的手术治疗。方法回顾性分析中国医科大学附属盛京医院1997年3月至2007年10月手术治疗的51例紧邻肝门的巨大肝海绵状血管瘤的临床资料。结果血管瘤包膜外剥除29例,肝切除19例,缝扎3例。术中平均失血量(1085±1539)mL,22例出现不同程度并发症,全组无手术死亡。结论手术治疗紧邻肝门的巨大肝海绵状血管瘤是安全的、切实可行的,方法首选血管瘤包膜外剥除术。对限于半肝或尾状叶的病例可分别采用半肝或尾状叶切除。
Objective To investigate the surgical treatment of giant hepatic cavernous hemangiomas adjacent to the portal. Methods The clinical data of 51 cases of giant hepatic cavernous hemangioma adjacent to the portal of the liver from March 1997 to October 2007 in Shengjing Hospital of China Medical University were retrospectively analyzed. Results Hemangiomas were enucleated in 29 cases, hepatectomy in 19 cases and suture in 3 cases. Intraoperative blood loss (1085 ± 1539) mL, 22 patients with varying degrees of complications, the whole group without surgical death. Conclusions Surgical treatment of giant hepatic cavernous hemangiomas adjacent to the portal is safe, feasible and the preferred method of extrahepatic excision for hemangiomas. For the limited to the semi-liver or caudate lobe cases can be used to cut the hemi-liver or caudate lobe.