Hepatic hemangioma surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
Most cavernous hepatic hemangiomas are treated only if there is persistent pain. Elective surgical resection is recommended for all patients who develop: | *Most cavernous hepatic hemangiomas are treated only if there is persistent pain. Elective surgical resection is recommended for all patients who develop: | ||
*Progressive abdominal pain and a size of more than 5cm.<ref name="pmid17914976">{{cite journal| author=Erdogan D, Busch OR, van Delden OM, Bennink RJ, ten Kate FJ, Gouma DJ et al.| title=Management of liver hemangiomas according to size and symptoms. | journal=J Gastroenterol Hepatol | year= 2007 | volume= 22 | issue= 11 | pages= 1953-8 | pmid=17914976 | doi=10.1111/j.1440-1746.2006.04794.x | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17914976 }} </ref> | :*Progressive abdominal pain and a size of more than 5cm.<ref name="pmid17914976">{{cite journal| author=Erdogan D, Busch OR, van Delden OM, Bennink RJ, ten Kate FJ, Gouma DJ et al.| title=Management of liver hemangiomas according to size and symptoms. | journal=J Gastroenterol Hepatol | year= 2007 | volume= 22 | issue= 11 | pages= 1953-8 | pmid=17914976 | doi=10.1111/j.1440-1746.2006.04794.x | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17914976 }} </ref> | ||
Surgery is usually reserved for patients with:<ref name="Jr2010">{{cite journal|last1=Jr|first1=Marcelo AF Ribeiro|title=Spontaneous rupture of hepatic hemangiomas: A review of the literature|journal=World Journal of Hepatology|volume=2|issue=12|year=2010|pages=428|issn=1948-5182|doi=10.4254/wjh.v2.i12.428}}</ref> | *Surgery is usually reserved for patients with:<ref name="Jr2010">{{cite journal|last1=Jr|first1=Marcelo AF Ribeiro|title=Spontaneous rupture of hepatic hemangiomas: A review of the literature|journal=World Journal of Hepatology|volume=2|issue=12|year=2010|pages=428|issn=1948-5182|doi=10.4254/wjh.v2.i12.428}}</ref> | ||
* Spontaneous rupture | :* Spontaneous rupture | ||
* Traumatic rupture with hemoperitonium | :* Traumatic rupture with hemoperitonium | ||
* Intratumoral bleeding | :* Intratumoral bleeding | ||
* Consumptive coagulopathy (Kassabach-Merrit syndrome) | :* Consumptive coagulopathy (Kassabach-Merrit syndrome) | ||
Treatment for [[infantile hemangioendothelioma]] depends on the child's growth and development. The following surgical treatments may be needed: | *Treatment for [[infantile hemangioendothelioma]] depends on the child's growth and development. The following surgical treatments may be needed: | ||
:*Inserting a material in a blood vessel of the liver to block it (embolization). | :*Inserting a material in a blood vessel of the liver to block it (embolization). | ||
:*Tying off (ligation) a liver artery. | :*Tying off (ligation) a liver artery. | ||
Revision as of 20:18, 26 October 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Nawal Muazam M.D.[2]
Overview
Elective surgical resection is recommended for all patients who develop progressive abdominal pain and a size of more than 5cm.[1]
Surgery
- Most cavernous hepatic hemangiomas are treated only if there is persistent pain. Elective surgical resection is recommended for all patients who develop:
- Progressive abdominal pain and a size of more than 5cm.[1]
- Surgery is usually reserved for patients with:[2]
- Spontaneous rupture
- Traumatic rupture with hemoperitonium
- Intratumoral bleeding
- Consumptive coagulopathy (Kassabach-Merrit syndrome)
- Treatment for infantile hemangioendothelioma depends on the child's growth and development. The following surgical treatments may be needed:
- Inserting a material in a blood vessel of the liver to block it (embolization).
- Tying off (ligation) a liver artery.
- Surgery to remove the tumor.
References
- ↑ 1.0 1.1 Erdogan D, Busch OR, van Delden OM, Bennink RJ, ten Kate FJ, Gouma DJ; et al. (2007). "Management of liver hemangiomas according to size and symptoms". J Gastroenterol Hepatol. 22 (11): 1953–8. doi:10.1111/j.1440-1746.2006.04794.x. PMID 17914976.
- ↑ Jr, Marcelo AF Ribeiro (2010). "Spontaneous rupture of hepatic hemangiomas: A review of the literature". World Journal of Hepatology. 2 (12): 428. doi:10.4254/wjh.v2.i12.428. ISSN 1948-5182.