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. 1997 Mar;84(3):314-6.

Surgical treatment of giant haemangioma of the liver

M A Brouwers  1 , P M Peeters, K P de Jong, E B Haagsma, I J Klompmaker, C M Bijleveld, J H Zwaveling, M J Slooff
Affiliations
  • PMID: 9117293

Surgical treatment of giant haemangioma of the liver

M A Brouwers et al. Br J Surg. 1997 Mar.

Abstract

Background: The treatment of giant symptomatic haemangioma of the liver is still controversial. This retrospective study reviewed the results of surgical treatment.

Methods: Twenty-eight patients with symptomatic giant haemangioma of the liver were treated by liver resection (n = 24) or liver transplantation (n = 4). The median diameter of the haemangiomas was 11 (range 5-20) cm.

Results: Complications occurred in five of the 24 patients treated by partial liver resection, although all survived and remain alive and well more than 2 years after surgery. In six patients there was residual haemangioma in the liver remnant which did not enlarge during the 2-year follow-up. In four patients the haemangioma was considered irresectable and liver transplantation was performed. One died after a 'two-stage' liver transplantation; the remaining three patients are alive and well, 1, 4 and 9 years after transplantation.

Conclusion: Liver resection is the treatment of choice for giant haemangioma of the liver where possible. In selected cases liver transplantation is indicated.

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