ObjectiveTo compare the safety between hemangioma excision and interventional embolization in the treatment of patients with hepatic cavernous hemangioma and its effects on liver function. MethodsThe clinical data of 63 patients with hepatic cavernous hemangioma were retrospectively analyzed, and the patients were assigned to excision group (28 cases) and embolization group (35 cases) by the surgical methods. Hemangioma excision was conducted in the excision group, whereas the embolization group received interventional embolization for treatment. The operation-related indicators, the liver function before and 1 week after operation, pain in the liver area 1 week and 1 month after operation, and the incidence of complications a month after operation were compared between the two groups. ResultsThe embolization group yielded shorter or less operation duration, incision length, intraoperative bleeding volume as compared with the excision group (all P＜0.05). After a week of operation, the levels of alkaline phosphatase (ALP), total bilirubin (TBIL), alanine aminotransferase (ALT) significantly increased in both groups as compared with before operation, among which the excision group yielded more significant changes of the indicators mentioned above (all P＜0.05). After a week of operation, the embolization group yielded lower VAS scores of pain in the liver area under the normal condition and the oppression state as compared with the excision group (all P＜0.05); furthermore, the scores mentioned above decreased in both groups a month after operation than a week after operation (all P＜0.05); however, there were no statistically significant differences of the scores between the two groups (all P＞0.05). There were no statistically significant differences of postoperative complications a month after operation, including the incidence of abnormal liver function, hepatapostema, postoperative infection, cholecystitis (all P＞0.05). ConclusionBoth hemangioma excision and interventional embolization for treating patients with hepatic cavernous hemangioma could obtain preferably superior effects and high safety, whereas interventional embolization can effectively shorten operation duration, reduce intraoperative bleeding volume, and it is preferably slight on the degree of liver function injury in patients. It can effectively alleviate postoperative pain in the liver area, which is worthy of clinical promotion and application.

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