Is there a high risk of surgical treatment for hepatic hemangioma?

Treatments for hepatic hemangioma include surgical treatment, and surgical treatment is for tumors that are relatively large and have caused great damage to the liver. In fact, there are risks in hepatic hemangioma surgery, but as long as the patient goes to a regular large hospital for surgery, he should not worry too much.

1. Most patients with hepatic hemangioma have no history of cirrhosis, have good liver compensatory function, and can tolerate a larger range of liver resection. For giant hepatic hemangiomas or multiple hemangiomas, regular liver segment resection, liver lobectomy, or even hemihepatectomy is usually feasible, but the amount of liver resection should not exceed 70%-75% of the whole liver. The main problem of segment resection for the treatment of hepatic hemangioma is bleeding control. Since hemangiomas are rich in blood supply, the tumor itself is prone to bleeding, which increases the difficulty of the operation. Sometimes improper operation during the operation can even lead to uncontrollable massive bleeding. How to control bleeding is the key to the success of the operation.

2. Use hepatic hemangioma stripping: Hepatic hemangiomas often grow in an expansive manner, which can compress normal liver tissue and bile ducts. The blood vessels form a thin fibrous capsule. There are few blood vessels at this interface, so blunt separation can be performed along this interface to strip out the hemangioma. The operation time, amount of bleeding and blood transfusion of the stripping surgery are significantly less than those of liver resection. It causes mild damage to the liver, preserves normal liver tissue to the maximum extent, and the patient's liver function recovers quickly after surgery. It reduces damage to important intrahepatic blood vessels and bile ducts, reduces bleeding, and reduces the incidence of bile fistula.

3. Although there are risks associated with hepatic hemangioma surgery, there is no need to worry too much. As long as the surgery is performed in a regular large hospital, the risk will not be too high.