Why is it not recommended to perform surgery on hepatic hemangiomas?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on September 13, 2024
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Patients with hepatic hemangioma generally do not exhibit obvious symptoms, and most cases are discovered during color Doppler ultrasound examinations. Hence, surgical treatment is not required at this time. It is possible to regularly re-examine the color Doppler ultrasound dynamics and monitor any changes in volume. However, for large hepatic hemangiomas, complications such as rupture, bleeding, and even life-threatening hemorrhagic shock may occur, leading to death. Therefore, early surgical treatment is advised for such cases. The primary method is minimally invasive surgery achieved through interventional procedures. Post-surgery, regular follow-up with color Doppler ultrasound is also necessary to dynamically observe any changes in the condition.

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Written by Liu Wu Cai
Hepatobiliary Surgery
49sec home-news-image

Why is it not recommended to perform surgery on hepatic hemangiomas?

Patients with hepatic hemangioma generally do not exhibit obvious symptoms, and most cases are discovered during color Doppler ultrasound examinations. Hence, surgical treatment is not required at this time. It is possible to regularly re-examine the color Doppler ultrasound dynamics and monitor any changes in volume. However, for large hepatic hemangiomas, complications such as rupture, bleeding, and even life-threatening hemorrhagic shock may occur, leading to death. Therefore, early surgical treatment is advised for such cases. The primary method is minimally invasive surgery achieved through interventional procedures. Post-surgery, regular follow-up with color Doppler ultrasound is also necessary to dynamically observe any changes in the condition.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Can a six-centimeter liver hemangioma be treated with minimally invasive surgery?

For patients with liver hemangiomas, if the size reaches six centimeters, it is relatively large at this point and there may be a risk of rupture and bleeding. Thus, it is advisable to opt for early surgical intervention. The primary method for this would be minimally invasive surgery, which is achieved through vascular interventional surgery. Post-surgery, it is still necessary to have regular follow-up examinations with color Doppler ultrasound to monitor changes in the condition. Generally, for patients with liver hemangiomas of a relatively small size, they usually do not experience significant discomfort and do not require special treatment. Regular follow-up with color Doppler ultrasound to observe any changes in size is sufficient. Of course, it is advisable to avoid spicy and irritating foods in the diet to reduce inflammatory stimulation and lessen the burden on the liver, thereby helping to control the condition.

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Written by Li Hu Chen
Imaging Center
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Can liver hemangioma be definitively diagnosed by ultrasound?

If there is a hemangioma on the liver, it can generally be diagnosed through an ultrasound of the liver and biliary system. This is because hemangiomas have some characteristic appearances on ultrasound imaging. First, it's essential to understand the structure of the liver hemangioma which can be roughly considered as sponge-like, with a structure similar to a sponge containing many fine structures. When ultrasound is applied, this sponge-like structure will demonstrate strong echogenicity, appearing as a large mass with medium to strong echogenic responses. Thus, it is quite evident on ultrasound and has relatively high specificity, so it can generally be diagnosed through ultrasound. If the appearance is not typical, further examination with an enhanced CT scan can be carried out for diagnosis.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Will the hepatic hemangioma grow back after it has been removed?

It is possible for liver hemangiomas to recur after they have been removed. Therefore, for the treatment of liver hemangiomas, minimally invasive surgery, namely interventional treatment, is mainly chosen in clinical practice, which can achieve better treatment effects. Patients with liver hemangiomas often have a benign tumor, generally without obvious discomfort, but there is a possibility of rupturing and bleeding, or even causing hemorrhagic shock. Therefore, for larger liver hemangiomas, surgical treatment should be administered as soon as possible. Interventional surgery can achieve very good treatment results, but there is still a possibility of recurrence after surgery, so regular follow-up with color Doppler ultrasound is necessary to dynamically observe changes in the condition.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Do liver hemangiomas need to be treated?

Whether treatment is needed for liver hemangiomas mainly depends on the size and volume of the hemangioma and whether there are any symptoms. For patients with liver hemangiomas, those with relatively large volumes may experience liver bleeding or even affect liver function. In such cases, surgical treatment should be performed. The surgery can be done through interventional procedures to achieve ligation, which can cure the condition. Of course, for patients with smaller liver hemangiomas, there are generally no obvious symptoms, and most are only discovered during ultrasound examinations. There is no need to be overly worried or to undertake special treatments in such cases. Regular ultrasound check-ups to dynamically observe any changes in volume are sufficient. However, if the condition worsens, early treatment should be administered to improve the prognosis for the patient.