On March 23.3, doctor Nguyen Ngoc Anh (Hepatobiliary Pancreatic Unit, Gia Dinh People's Hospital, Ho Chi Minh City) said that through examination, the doctors suspected a large tumor in the abdomen and gave the patient food to eat. Blood tests as well as multi-slice computed tomography (MSCT) of the abdomen are performed 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 a liver hemangioma and admitted to the Hepatobiliary Pancreatic Unit for treatment.
Taking medical history, the patient said he discovered a tumor in his abdomen when he went for a medical examination 8 years ago. 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 hospital's DSA Unit to come up with the best treatment plan for the patient. Although the tumor is benign, it is huge in 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 tumor was more than 5 kg after successful removal from the patient's abdomen
Before the day of surgery, DSA Unit doctors assisted in occluding the blood vessels feeding the tumor, 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 liver tumors, then performed an open surgery on the cesarean section (corresponding to the cesarean section) about 20 cm long to remove the entire tumor. kg out of the stomach. The surgery lasted about 5 hours. The patient's postoperative course was stable and the patient was discharged from the hospital a few days later.
Dr. Ngoc Anh 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 have regular check-ups to monitor their development. of the tumor. 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, just maintain a healthy lifestyle and eat scientifically to keep the liver healthy.
