Kawarada Y, Mizumoto R
Am J Surg. 1984 Aug;148(2):287-91. doi: 10.1016/0002-9610(84)90239-3.
During a 5 year period, we treated 5 patients with giant hemangioma of the liver. There were 4 women and 1 man who ranged in age from 34 to 51 years with an average age of 43.8 years. The symptoms were an abdominal mass with Kasabach-Merritt syndrome in 2 patients, an uncomfortable sensation in the upper abdomen in two patients, and pain in the right upper quadrant in one patient. All five patients underwent surgical treatment with a successful outcome. Three of the patients underwent hepatic lobectomy, one patient underwent left lateral segmentectomy with ligation of the right hepatic artery, and one patient had ligation of the left hepatic artery with radiation. In two of the patients, Kasabach-Merritt syndrome was cured promptly after hepatic lobectomy. We believe that a symptomatic giant hemangioma within one lobe should be treated by hepatectomy, but if it involves both lobes, ligation of the hepatic artery, with or without radiation, should be considered.
在5年的时间里，我们治疗了5例肝脏巨大血管瘤患者。其中有4名女性和1名男性，年龄在34岁至51岁之间，平均年龄为43.8岁。症状表现为：2例患者有腹部肿块并伴有卡萨巴赫-梅里特综合征，2例患者有上腹部不适感，1例患者有右上腹疼痛。所有5例患者均接受了手术治疗，且治疗结果成功。3例患者接受了肝叶切除术，1例患者接受了左外叶切除术并结扎了右肝动脉，1例患者进行了左肝动脉结扎并接受了放疗。2例患者在肝叶切除术后，卡萨巴赫-梅里特综合征迅速治愈。我们认为，局限于一个肝叶内有症状的巨大血管瘤应行肝切除术，但如果累及两个肝叶，则应考虑结扎肝动脉，可联合或不联合放疗。
