Andersson R, Bengmark S
Department of Surgery, Lund University, Sweden.
Acta Chir Scand. 1988 Oct;154(10):577-9.
Cavernous hemangioma of the liver was surgically treated in six men and two women, mean age 58 (51-63) years during a 37-year period. The size of hemangioma averaged 10 (5-15) cm. It was single in all cases and situated in the right liver lobe in seven. The indications for operation were suspected abdominal tumor or hepatic metastases in five cases, enlargement of previously known hemangioma in two, and spontaneous rupture of cavernous hemangioma with massive intra-abdominal bleeding in one case (emergency laparotomy). The operations comprised two right lobectomies, one left lobectomy, three atypical resections of the right liver lobe and two sublobar resections. The course after the elective operations was uneventful, but the patient with ruptured hemangioma died intraoperatively due to myocardial fibrillation after performance of right lobectomy. Although elective surgical treatment of cavernous hemangioma of the liver is safe, the natural history in most cases probably is benign and indications for surgery should be restrictive.
在37年期间，对6名男性和2名女性进行了肝脏海绵状血管瘤的手术治疗，平均年龄58（51 - 63）岁。血管瘤大小平均为10（5 - 15）厘米。所有病例均为单发，7例位于肝右叶。手术指征包括5例疑似腹部肿瘤或肝转移、2例先前已知血管瘤增大以及1例海绵状血管瘤自发性破裂伴腹腔内大量出血（急诊剖腹手术）。手术包括2例右叶切除术、1例左叶切除术、3例右肝叶非典型切除术和2例亚肝段切除术。择期手术后过程顺利，但1例血管瘤破裂患者在右叶切除术后因心肌颤动术中死亡。虽然肝脏海绵状血管瘤的择期手术治疗是安全的，但大多数情况下其自然病程可能是良性的，手术指征应严格限制。
