Analysis of surgical treatment of liver hemangiomas

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Abstract

Objective. Development of criteria for optimal tactics of surgical treatment of liver hemangiomas of various sizes and localizations.

Materials and methods. A retrospective analysis of 247 patients with hepatic hemangiomas observed on an outpatient basis and in a hospital was carried out; 59 of them (23.89 %) were operated including 12 men and 47 women over the period of 1999–2019. Liver resection with hemangioma was performed in 30 patients, hemangioma enucleation – in 21, X-ray endovascular occlusion – in 8 patients. The diagnosis was established on the basis of ultrasound of the abdominal organs, CT and MRI with contrast as well as angiographic research methods.

Results. The postoperative complications developed in 4 (6.78 %) cases: reactive pleurisy was detected in 2 patients after the right-sided hemihepatectomy, hematomas in the resection zone of segments of the right lobe of the liver with a tumor were diagnosed in 2 patients. All complications were eliminated by conservative measures. There were no lethal outcomes.

Conclusions. Surgical treatment of patients with hemangiomas includes resection of the liver with a tumor, enucleation of the hemangioma, and various types of local destruction. In order to reduce the blood circulation of the tumor and decrease the risk of intraoperative blood loss, the ECA of the branches of the hepatic artery was indicated. A comparative analysis of the results of treatment of patients with liver hemangiomas using various methods of surgical interventions made it possible to develop optimal surgical tactics, a system of intra- and perioperative safety in this category of patients.

About the authors

I. N. Mugatarov

E.A. Vagner Perm State Medical University; Liver Surgery Center of Clinical Hospital № 1

Author for correspondence.
Email: mugatarov@mail.ru

Candidate of Medical Sciences, Head of Planned Surgery Unit and Liver Surgery Center, Associate Professor of Department оf Faculty Surgery № 2м

Russian Federation, Perm

M. F. Zarivchatsky

E.A. Vagner Perm State Medical University; Liver Surgery Center of Clinical Hospital № 1

Email: mugatarov@mail.ru

MD, PhD, Professor, Head оf Department оf Faculty Surgery № 2

Russian Federation, Perm

V. A. Samartsev

E.A. Vagner Perm State Medical University; City Clinical Hospital № 4

Email: mugatarov@mail.ru

MD, PhD, Professor, Head of Department of General Surgery № 1

Russian Federation, Perm

L. A. Bankovskaya

E.A. Vagner Perm State Medical University

Email: mugatarov@mail.ru

MD, PhD, Professor, Head of Department of Public Health and Health Care with Course of Healthcare Informatization

Russian Federation, Perm

E. D. Kamenskikh

E.A. Vagner Perm State Medical University; Liver Surgery Center of Clinical Hospital № 1

Email: mugatarov@mail.ru

Candidate of Medical Sciences, Associate Professor, Department оf Faculty Surgery № 2

Russian Federation, Perm

O. G. Karakulov

City Clinical Hospital № 4

Email: mugatarov@mail.ru

Head of Department of X-ray Surgical Methods of Diagnostics and Treatment

Russian Federation, Perm

M. V. Kolyvanova

E.A. Vagner Perm State Medical University

Email: mugatarov@mail.ru

Candidate of Medical Sciences, Associate Professor, Department оf Faculty Surgery № 2

Russian Federation, Perm

N. S. Teplykh

E.A. Vagner Perm State Medical University

Email: mugatarov@mail.ru

Candidate of Medical Sciences, Associate Professor, Department оf Faculty Surgery № 2

Russian Federation, Perm

V. V. Shevchuk

E.A. Vagner Perm State Medical University

Email: mugatarov@mail.ru

Сandidate of Medical Sciences, Associate Professor, Department of Faculty Therapy № 2, Occupational Pathology and Clinical Laboratory Diagnostics

Russian Federation, Perm

References

  1. Chardarov N.K., Ganiev F.A., Bagmet N.N., Skipenko O.G. Liver hemangiomas: the surgical point of view. Annaly hirurgiceskoj gepatologii 2012; 17(1): 86–93 (in Russian).
  2. Bazayev A.V., Kokobelyan A.R., Akulenko D.S., Kudryavtceva A.N., Malov A.A. Criteria for selecting the optimal method of treating hepatic hemangiomas. Sovremennye tehnologii v medicine 2020; 12 (1): 98–104 (in Russian).
  3. John T. Miura, Albert Amini, Ryan Schmocker, Shawnn Nichols, Daniel Sukato, Emily R. Winslow, Gaya Spolverato, Aslam Ejaz, Malcolm H. Squires, David A. Kooby, Shishir K. Maithel, Aijun Li, Meng-ChaoWu, Juan M. Sarmiento, Mark Bloomston, Kathleen K. Christians, Fabian M. Johnston, Susan Tsai, Clark Gamblin T. Surgical management of hepatic hemangiomas: a multi-institutional experience. J HPB 2014; 16: 10: 924–928.
  4. Polysalov V.N., Granov D.A. Treatment of liver hemangiomas: the dependence of surgical tactics on the form of the disease. Voprosy onkologii 2003; 49 (5): 630–635 (in Russian).
  5. Durleshter V.M., Bukhtoyarov A.Yu., Nikitin S.P., Madaminov I.Ya., Vittek M.M. Hepatic hemangiomas as a niche of endovascular surgery. Nauchnyy vestnik zdravookhraneniya Kubani 2015; 37(1): 1–8 (in Russian).
  6. Zarivchatskiy M.F., Kamenskikh E.D., Mugatarov I.N. Liver tumors (textbook) Perm': GBOU VO PGMU im. ak. E.A. Vagnera Minzdrava Rossii 2019; 159 (in Russian).
  7. Akhmadzoda S.M., Safarov B.Dzh., Tabarov Z.V., Rakhimov S.S., Ibrokhimov N.K., Navruzov O.F. Surgical treatment of liver hemangiomas. Zdravookhranenie Tadzhikistana 2017; 4: 10–19 (in Russian).
  8. Kyzhyrov Zh.N., Baimakhanov B.B., Sahipov M.M., Chormanov A.T., Birzhanbekov N.N., Serikuly E. Surgical treatment of focal liver disease. Vestnik Kazakhskogo Natsional’nogo meditsinskogo universiteta 2016; 1: 385–390 (in Russian).
  9. Kotiv B.N., Dzidzava I.I., Chuprina A.P., Kashkin D.P. Laparoscopic liver resection (first experience). Russian Journal of Oncology 2014; 19 (4): 29–30 (in Russian).
  10. Alperovich B.I., Merzlikin N.V., Salo V.N., Paramonova L.M., Maksimov M.A., Saipov M.B., Yeskov I.M. Cryosurgery of focal liver diseases. Bulletenʹ sibirskoj mediciny 2011; 10 (1): 143–149 (in Russian).
  11. Merzlikin N.V., Tskhai V.F., Brazhnikova N.A., KomkovaT.B., Salo V.N., Maximov M.A., Navasardan V.G., Noroeva T.A. Cryosurgery of liver tumors. Siberian Journal of Oncology 2018; 17 (2): 41–48 (in Russian).
  12. Zagainov V.E., Kostrov A.V., Strikovsky A.V., Yanin D.V., Vasenin S.A., Zarechnova N.V., Shkalova L.V., Plotnickov A.F., Bugrova M.L., Snopova L.B. New method of the liver tumor thermal destruction with a local effect of the SHF energy. Sovremennye tehnologii v medicine 2010; 3: 6–13 (in Russian).
  13. Chernousov A.F., Musaev G.H., Zhemerikin G.A., Yurichenko Yu.Yu., Nekrasova T.P. Microwave ablation as a method of surgical treatment of the liver hemangiomas. Vestnik khirurgicheskoy gastroenterologii 2016; 1–2: 15–22 (in Russian).
  14. Zhemerikin G.A. Microwave ablation in the surgical treatment of patients with liver hemangiomas. Abstract for the degree of candidate of medical sciences. Moscow 2018; 23 (in Russian).

Supplementary files

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2. Figure 1. Ultrasound image of the cavernous hemangioma of the right lobe of the liver

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3. Figure 2. Ultrasound image of a capillary hemangioma of the right lobe of the liver. Ellipsoid-shaped formation of increased echogenicity with clear contours with a fine-mesh structural pattern

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4. Figure 3. Hemangioma of the right lobe of the liver. Condition after REO of the branches of the right hepatic artery. Intraoperative photo

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5. Figure 4. Angiographic picture of hemangioma of the right lobe of the liver

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6. Figure 5. REO of the branch of the right hepatic artery supplying the hemangioma

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Copyright (c) 2021 Mugatarov I.N., Zarivchatsky M.F., Samartsev V.A., Bankovskaya L.A., Kamenskikh E.D., Karakulov O.G., Kolyvanova M.V., Teplykh N.S., Shevchuk V.V.

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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
 


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