Successful removal of liver hemangioma weighing more than 5 kg

On March 23, Dr. Nguyen Ngoc Anh (Hepatobiliary and Pancreatic Unit, Gia Dinh People's Hospital, Ho Chi Minh City) said that through examination, doctors suspected a large tumor in the abdomen and had the patient perform blood tests as well as abdominal multi-slice computed tomography (MSCT) for evaluation.

Paraclinical results showed that the patient had a large tumor in the left liver, occupying the entire abdominal cavity. He was diagnosed with liver hemangioma and admitted to the Hepatobiliary Pancreatic Unit for treatment.

Taking a medical history, the patient said that he had discovered a tumor in his abdomen when he went for a medical examination 8 years ago. Doctors advised him to be hospitalized for surgery to remove the tumor, but due to his family's difficult circumstances, the patient did not agree. Gradually, the tumor grew larger and larger, compressing the inferior vena cava, forming a collateral in the anterior abdominal wall.

After being admitted to the hospital, doctors at the Hepatobiliary Pancreas Unit coordinated with the hospital's DSA Unit to come up with the best treatment plan for the patient. Although it was a benign tumor, it was huge in size. If approached by open surgery, it would cause post-operative pain as well as loss of aesthetics for the patient.

In addition, due to the tumor compressing for a long time, the patient had poor eating and malnutrition, so the abdominal wall muscles were thin and prone to abdominal wall hernia later. Finally, the doctors decided to perform laparoscopic surgery for the patient.

A tumor weighing more than 5 kg was successfully removed from the patient's abdomen.

Before the surgery, the DSA doctors supported the embolization of blood vessels feeding the tumor, in order to reduce the size of the tumor as well as reduce the risk of bleeding during surgery. To perform laparoscopic surgery requires the doctor to be very careful because the tumor occupies almost the entire abdominal cavity, compressing other organs in the abdomen. Surgeons face many challenges when moving the liver, the possibility of rupturing the tumor causing bleeding and the risk of damaging other organs in the abdominal cavity always lurks.

After careful calculation, the doctors safely removed the entire liver tumor, then made an incision on the parasternal area (corresponding to the cesarean section incision) about 20 cm to remove the entire tumor weighing more than 5 kg from the abdomen. The surgery lasted about 2 hours. The patient's postoperative condition was stable and he was discharged a few days later.

Doctor Ngoc Anh said that liver hemangioma is a benign tumor in the liver, most of the tumors are small in size and do not cause any symptoms, patients only need to have regular check-ups to monitor the development of the tumor. In most cases, the tumor does not change in size or increases very little, only about 2 mm/year. Patients with liver hemangioma should not worry too much, just need to maintain a healthy lifestyle and eat scientifically to keep the liver healthy.

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