Liu X, et al. - This study examined whether the location of liver haemangioma may affect surgical decisions. As per findings, researchers recommend considering the location of liver haemangioma when making surgical decisions. For surgical procedures, they recognized it as one of the main considerations.

Methods

• 338 liver haemangioma patients were included in this retrospective study.
• Data collection was conducted regarding demographics, location, symptoms and whether surgical treatment was performed .
• The collected data included radiologic characteristics, surgical procedures, surgical variables, postoperative stay, morbidity, and mortality for patients with surgical treatment.
• Patients were divided into left or right group in accordance to the location.
• Comparison was performed between them.

Results

• Patients in the left group, compared to the right group, more frequently had symptoms (P = 0.018), this was seen particularly among patients with 5- to 10-cm haemangiomas (P < 0.001).
• Patients in the left group indicated higher rates of exophytic lesions and gastric outlet compression (63.8% vs 7.1%, 56.5% vs 5.1%, P < 0.001 each), while patients in the right group indicated a higher rate of vessel compression (36.4% vs 21.7%, P = 0.043).
• Liver resection was observed in higher frequency among patients in left group (75.4% vs 26.3%, P < 0.001).
• The right group indicated greater surgical time, amounts of collected blood and autologous transfusion (P = 0.008, P = 0.001 and P = 0.003, respectively).
• Longer postoperative stay was observed in the right group (P = 0.007).