Complications after hepatic hemangioma surgery

Various benign tumors often grow inside people's bodies. They do not develop into cancer, but can seriously affect people's daily activities. Hepatic hemangioma is one of them. It is a fibroid on the liver. People with this fibroid will not have too many obvious reactions. If hepatic hemangioma cannot be eliminated by medication, it must be removed surgically, otherwise it will be like a time bomb. Most surgeries have complications, and hepatic hemangioma surgery is no exception. What are the complications after surgery for hepatic hemangioma?

1. Bleeding during and after surgery

Intraoperative and postoperative bleeding often occurs during surgical resection of hepatic hemangioma. The amount of intraoperative bleeding is positively correlated with the incidence of postoperative complications and mortality. Controlling bleeding is the key to surgical resection of hepatic hemangioma[3]. Causes of bleeding include tumor rupture and bleeding during surgery, improper handling of the liver section, detachment of the ligature knot, incomplete hemostasis of the wound, and the patient's own coagulation dysfunction. Therefore, effective control of intraoperative and postoperative bleeding should include accurate preoperative evaluation and precise intraoperative operation.

2. Bile Leakage

After surgical resection, some patients will have bile-like fluid discharged from the drainage tube, accompanied by symptoms of localized peritonitis. Common causes of bile leakage are: (1) improper handling of the liver section, careless ligation or closure of the bile duct, and leaving an open bile duct; (2) damage to the first portal bile duct, resulting in poor bile drainage, increased pressure in the bile duct, and bile leakage from the capillary bile ducts of the liver section; (3) poor drainage of the surgical area, hematoma infection in the liver section, and wound ulceration, resulting in partial opening of the bile duct in the section.

3. Liver failure

Liver failure is a serious complication after liver resection and an important cause of postoperative mortality. This complication often occurs in patients with cirrhosis and hepatitis. These patients have poor liver function reserve, and there is a possibility of excessive bleeding during surgery, excessive resection, and prolonged blocking of the liver portal, leading to liver cell hypoxia. Postoperatively, patients may experience jaundice, ascites, hepatic encephalopathy, secondary infection, gastrointestinal bleeding, water and electrolyte disorders, and acid-base imbalance. Therefore, the surgical indications should be strictly controlled before surgery, preoperative preparations should be fully completed, the surgical plan should be rationally formulated, the amount of bleeding and the time of portal occlusion should be reduced, and active liver protection and systemic supportive treatment should be performed after surgery.