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目的:探讨双侧肝叶巨大血管瘤的外科手术方式并总结治疗经验.方法:对1例罕见的特大双侧肝叶血管瘤患者的临床资料进行完整详细的回顾性分析及术后随访.结果:1例罕见的特大双侧肝叶血管瘤患者因正常肝组织较少无法同时施行左、右侧肝叶血管瘤切除术.该患者接受了二期血管瘤切除术治疗:一期手术切除左侧肝叶巨大血管瘤,术后恢复顺利,残余正常肝组织向左侧增生,但同时右侧肝血管瘤也继续增大;术后3.5年时接受了二期手术切除了右侧肝叶巨大血管瘤,该患者术后逐渐康复.至今已经健康存活4年余.结论:双侧肝叶巨大血管瘤可先切除左侧肝叶巨大血管瘤,使正常肝组织解除压迫,获得生长空间,从而逐渐增生,随后择期二期切除右侧肝叶巨大血管瘤.
OBJECTIVE: To explore the surgical methods and to summarize the experience of treatment of giant hemangiomas with bilateral liver lobes.Methods: A retrospective analysis of the clinical data of one patient with extrahepatic lumbar hemangiomas was performed in detail and retrospectively.Results : A rare case of patients with large bilateral liver hemangiomas due to the small number of normal liver tissue can not be simultaneously performed left and right hepatic hemangiomas resection.The patient underwent second hemangioma resection treatment: a surgical resection of the left Lateral hepatic lobe giant hemangioma, postoperative recovery was successful, the residual normal liver tissue to the left side of hyperplasia, but at the same time the right hepatic hemangioma also continued to increase; 3.5 years after surgery underwent two surgical removal of the right lobe liver huge Hemangioma, the patient recovered gradually after surgery and has been healthy for more than 4 years.Conclusion: Bilateral hepatic giant hemangioma can be removed first left hepatic giant hemangioma, the normal liver tissue to relieve the pressure to obtain growth space, thus Gradually hyperplasia, followed by elective two resection of the right hepatic giant hemangioma.