Abstract: Objective To observe the occurrence of liver failure in patients with hepatic hemangioma after hepatectomy and analyze the risk factors.Methods A total of 96 patients with hepatic hemangioma who underwent hepatectomy in Department of General Surgery, Yangzhou Friendship Hospital from March 2019 to January 2020 were selected in this study. The occurrence of postoperative liver failure in all patients were observed. A baseline data survey form was designed and used for recording the patient’s information. Single and multivariant analyses were performed to identify the risk factors associated with post-hepatectomy liver failure.Results Nine of the 96 patients (9.38%) with hepatic hemangioma had liver failure after hepatectomy. Single and multivariant regression analyses showed that large tumor size, low platelet count, and high intraoperative blood loss were the risk factors of liver failure after hepatectomy (OR>1, P<0.05).Conclusion Hepatic hemangioma patients have the risk of liver failure after hepatectomy, which may be related to the large tumor size, low platelet count, and high intraoperative blood loss. Clinical attention should be paid to reasonable intervention after hepatectomy in patients with hepatic hemangioma with the above-mentioned risk factors of liver failure for improving their prognosis.

Key words: Hepatic hemangioma, Hepatectomy, Liver failure, Tumor volume, Platelet count, Blood loss