In general, the following cases should be treated: (1) tumor diameter greater than 5 cm; (2) obvious clinical symptoms; (3) unclear diagnosis, malignant lesions cannot be excluded; (4) rapid growth rate or sudden increase in the size of the tumor due to hemorrhage and necrosis; (5) located in the liver portal area, resulting in compression symptoms; (6) spontaneous rupture; (7) Kas abach-M erritt syndrome; (8) children with spontaneous rupture of hepatic hemangioma than adults. The chance of spontaneous rupture of hepatic hemangioma in children is higher than that in adults, and it is often accompanied by intra-tumoral arteriovenous shunts, which may cause high expulsion heart failure,
The incidence of complications such as microangiopathic anemia, thrombocytopenia and hypofibrinogenemia is also significantly higher than that of adults, so pediatric hepatic hemangioma should be treated actively. 2. In addition, the indications for surgery for asymptomatic hepatic hemangioma are: ①, the tumor is > 10 cm and grows rapidly in the short term. (2) The tumor is located in the left outer lobe or right lobe margin, and the tumor is > 5cm. (3) The tumor is protruding towards the outer part of the liver, and the tumor is > 5cm. (4) The tumor cannot be clinically diagnosed and the possibility of liver malignancy is excluded. 3.The following hepatic hemangioma patients should not be treated surgically: ①.Solitary hemangioma of advanced age with tumor body < 10cm. ②.Hemangioma in the central part, caudate lobe or adjacent to the second hepatic hilar and inferior vena cava with tumor body < 10cm and slow growth. ③.Multiple hemangiomas in the right and left lobes with tumor size < 10cm.