Left hemihepatectomy and caudate resection after transarterial embolization for multiple giant liver hemangioma

Hemangiomas are the most common benign tumors of the liver and need to be treated in cases where they are accompanied with symptoms, have a risk of rupture, or are hardly distinguishable from malignancy. The authors adopted Transarterial embolization preoperatively to alleviate progressive symptom and avoid rupture of tumor, using staged resection method instead of liver transplantation, and proceed for left hemihepatectomy and caudate resection with lesion of segmente! left to next surgical procedure. The resected tumor of left lobe was 20.2cm×7.3cm in size and 1680 g in weight; and the caudate hemangioma was 17.7cm×8.5cm in size and 1520 g in weight. By this approach the gainthemangioma was safely resected without any threatening complication, which should be considered a useful method of multiple giant hemangioma management.