探讨肝血管瘤的诊断、手术指征及外科治疗效果。

回顾性分析2005年8月至2010年8月经手术证实的71例肝海绵状血管瘤和1例毛细血管瘤的临床资料。

右半肝切除13例，左半肝切除5例，左外叶切除16例，尾叶切除8例，肝中央叶段切除14例，肝段切除10例，联合肝段切除6例，预防性胆总管切开、T管外引流3例。术中第一肝门阻断49例，阻断时间8~42 min，平均（19.2±10.5）min；全肝血流阻断18例，阻断时间10~40 min，平均（18.6±11.2）min。所有手术病例过程顺利，切除标本直径5~22 cm，无手术死亡。术后并发症：胸腔积液11例，肺部感染1例，切口感染1例。69例随访5个月至6年，无复发。

严格把握手术指征的前提下，应用肝切除术治疗肝血管瘤是安全有效的。

To study the diagnosis, surgical indications, and results of surgical treatment for hepatic hemangioma.

Seventy-one cases of cavernous hemangioma and one case of capillary hemangioma of liver confirmed by surgical operation from 2005 to 2010 were retrospectively analyzed.

Thirteen cases underwent right hepatectomy, 5 cases underwent left hepatectomy, 16 cases underwent left lateral sectionectomy, 8 cases underwent caudate lobectomy, 14 cases underwent central hepatectomy, 10 cases underwent right anterior sectionectomy, 6 cases underwent combined hepatic resections and 3 cases underwent prophylactic exploration of the common bile duct. Pringle's maneuver was applied in 49 cases, and total hepatic vascular exclusion in 8 cases. The occlusion time ranged from 8-42 min and 10-40 min ( average: 19.2±10.5 min and 18.6±11.2 min), respectively. Intraoperative blood transfusion 6 cases, an average of 400ml blood transfusion. All operations were successfully carried out. The specimens measured 5-22 cm. There was no operative deaths. The postoperative complications were: pleural effusion 11 cases, lung infection 1 case; incision infection 1 case. Histologic diagnosis confirmed hepatic cavernous hemangioma in 71 cases, capillary hemangioma in 1 case. Sixty-nine cases of follow-up 5 months to 6 years, no recurrence, 3 cases last to follow-up.

Strictly grasp the surgical indications premise, liver resection for hepatic hemangioma is safe and effective.