Abstract: Objective To compare the efficacy of laparoscopic resection and laparoscopic microwave ablation in the treatment of hepatic hemangioma. Methods The clinical data of 46 patients with hepatic hemangioma in our hospital from June 2016 to June 2019 were retrospectively analyzed. They were divided into laparoscopic surgery group (group A) and laparoscopic microwave ablation group (group B), with 18 cases in group A and 28 cases in group B. The therapeutic effects of group A and group B on hepatic hemangioma were compared in terms of operation time, intraoperative blood loss, hospital stay and postoperative liver function recovery. Results Compared with group A, group B had obvious advantages in shortening operation time (t=2.797, P=0.008), reducing blood loss (t=3.253, P=0.005) and reducing hospital stay (t=2.065, P=0.045). On the first day after operation, ALT and AST levels in group B were higher than those in group A (P<0.05). The levels of ALT and AST on the third day after operation, the levels of total bilirubin, direct bilirubin and indirect bilirubin on the first and third days after operation, the incidence of postoperative complications and tumor recurrence rate between the two groups were not statistically significant (P>0.05). Conclusion Laparoscopic microwave ablation is safe, feasible and effective, which is worthy of clinical promotion.

Key words: Hepatic hemangioma, Laparoscopy, Microwave ablation, Curative effect