Previously, on the morning of March 1, Ms. PTHT (3 years old, living in Binh Thanh) went to the Gia Dinh People's Hospital for examination in a state of physical weakness, poor appetite, persistent dull abdominal pain, and a distended abdomen. big like pregnant.
The patient's liver hemangioma weighing more than 5kg and measuring 30cm x 40cm was removed after surgery. Photo: BH
Through examination, doctors suspected a large tumor in the abdomen and had the patient undergo blood tests as well as an abdominal MSCT scan to evaluate. Paraclinical results showed that the patient had a large tumor in the left liver, occupying the entire abdominal cavity. He was diagnosed with a liver hemangioma and admitted to the Hepatobiliary Pancreatic Unit for treatment.
It is known that the patient is a housewife, has a family and children, and discovered a tumor in her abdomen when she went for a medical examination 8 years ago.
At that time, doctors advised hospitalization for surgery to remove the tumor, but due to difficult family circumstances, the patient did not agree. Gradually the tumor became larger and larger, compressing the inferior vena cava, forming a collateral in the anterior abdominal wall.
After admission, doctors at the Hepatobiliary and Pancreatic Unit coordinated with the DSA Unit to come up with the best treatment plan for the patient.
The tumor is benign but has a huge size. If approached with open surgery, it will cause post-operative pain as well as loss of aesthetics for the patient. In addition, due to long-term compression by the tumor, the patient eats poorly and is malnourished, thin abdominal wall muscles are susceptible to abdominal wall hernia later on. Finally, the doctors decided to perform laparoscopic surgery on the patient.
The doctor examines the patient before leaving the hospital. Photo: BH
Before the day of surgery, doctors from the DSA Unit assisted in occluding the blood vessels that feed 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, the doctor must be very careful because the tumor occupies nearly 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 abdomen is always lurking.
After careful calculations, the doctors safely removed all of the liver tumors, then performed an open surgery (corresponding to the cesarean section) about 20cm in length to remove the entire tumor weighing more than 5kg. off the stomach. The surgery lasted about 2 hours. After surgery, the patient's health was stable and he was discharged from the hospital.
Doctor Nguyen Ngoc Anh - Hepatobiliary Pancreatic Unit said that hepatic hemangioma is a benign tumor in the liver. Most tumors are small in size and do not cause any symptoms, patients only need to be re-examined. periodically to monitor tumor growth.
In most cases, the tumor does not change in size or increases in size very little, only about 2 mm/year. Patients with liver hemangioma should not worry too much. They should maintain a healthy lifestyle and eat scientifically to keep their liver healthy.
