Abstract: Objective To analyze the efficacy of laparoscopic-assisted hemangioma debulking and anatomical hepatectomy in the treatment of giant hepatic hemangioma. Methods Sixty patients with giant hepatic hemangioma from January 2020 to December 2024 in Changzhou Maternal and Child Health Hospital were retrospectively collected and divided into control group (30 cases) and observation group (30 cases) according to treatment methods. The curative effect index, liver function, quality of life and complications were compared between the two groups. Results The observation group had a surgical time, blood loss, and abdominal drainage volume of (162.35±12.15) min, (504.23±15.14) mL, and (338.12±11.56) mL, respectively, which were significantly different from the control group [(146.02±11.47) min, (375.12±12.36) mL, and (227.45±10.15) mL, P<0.05]. At 2 months and 3 months post-surgery, the gastrointestinal quality of life index (GIQLI) scores of the observation group were (116.54±3.32) and (125.65±1.57), respectively, significantly higher than those of the control group [(102.35±2.24) and (112.23±1.26), P<0.05]. Conclusion Hemangioma stripping has a high curative effect on giant hepatic hemangioma, which can reduce the damage to liver function, improve the quality of life and have good safety.

Key words: Laparoscopic assistance, Hemangioma debulking, Anatomic hepatectomy, Giant hepatic hemangioma