Câmpeanu I, Bogdan M, Petrescu R, Artenie T, Totolici P
Serviciul Chirurgie I, Spitalul Clinic Militar Central, Str. Mircea Vulcănescu nr. 88, Bucureşti.
Chirurgia (Bucur). 2000 May-Jun;95(3):253-60.
The authors present two cases of giant hepatic cavernous hemangiomas with rare topography--caudate lobe. The article debates at length the natural evolution of disease, the diagnosis and the treatment. It give emphasis to the fact that, at present, we are witnessing the limitation of surgical indications far these benign vascular tumors. On the other hand, when operation is indicated, the authors prefer tumorectomy by enucleating or enucleoresection (which are limited) instead of major hepatic resections.
作者介绍了两例具有罕见部位——尾状叶的巨大肝脏海绵状血管瘤病例。本文详细讨论了该疾病的自然演变、诊断和治疗。着重强调了目前我们正目睹这些良性血管肿瘤手术指征的局限性。另一方面,当有手术指征时,作者更倾向于通过摘除或剜除切除术(这种方法有局限性)进行肿瘤切除,而不是进行大范围肝切除术。