中国实用外科杂志2026，Vol.46Issue(3)：306-310,5.DOI:10.19538/j.cjps.issn1005-2208.2026.03.05
肝血管瘤外科手术时机和适应证选择再认识
Reappraisal of surgical timing and indication selection for hepatic hemangioma in the era of minimally invasive and precision liver surgery
摘要
Abstract
Hepatic hemangioma is the most common benign liver tumor and is often detected during routine physical examination.Most lesions grow slowly,whereas a minority may enlarge progressively to giant hemangioma and cause symptoms such as abdominal distension and poor appetite.To date,high-level evidence-based guidelines are still lacking,leading to substantial inter-center variation in surgical indications.With advances in minimally invasive surgery,intraoperative visualization,and artificial intelligence-assisted decision-making,diagnostic accuracy has improved and perioperative trauma and risk have declined,which has intensified the debate on optimal timing and indications for surgery.The key controversy is whether to intervene earlier at a relatively low procedural cost to eliminate potential growth risk,or to prioritize close surveillance and operate after symptom development to avoid overtreatment.Current evidence and clinical experience support an individualized strategy based on symptoms,growth dynamics,anatomical location,technical feasibility,and expected benefit-risk balance,with dynamic reassessment over time.In the context of precision liver resection and minimally invasive surgery,a more practical risk-stratified indication framework is needed to optimize surgical timing and overall outcomes.关键词
肝血管瘤/手术适应证/手术时机/微创手术/精准肝切除Key words
hepatic hemangioma/surgical indication/timing of surgery/minimally invasive surgery/precision hepatectomy分类
医药卫生引用本文复制引用
袁声贤,祖蕴熙,周伟平..肝血管瘤外科手术时机和适应证选择再认识[J].中国实用外科杂志,2026,46(3):306-310,5.基金项目
国家自然科学基金项目(No.8257100559,No.82473341) National Natural Science Foundation of China(No.8257100559,No.82473341) （No.8257100559,No.82473341）
