Hepatic cavernous hemangioma is thought to originate from embryonic vascular misshapen buds in the liver, and due to some factors, it causes tumor-like proliferation. The tumor is soft in texture, honeycomb-like in section, filled with blood, compressible and sponge-like, so it is called hepatic sponge hemangioma. Small asymptomatic hemangiomas do not require treatment, but ultrasound examination should be done at intervals of 3-6 months to dynamically observe the changes of hemangiomas. Liver resection is the most effective treatment for hepatic cavernous hemangioma. It is generally considered that the indications for surgical treatment are: 1. hemangioma diameter >10cm; 2. hemangioma diameter 5~10cm but located at the edge of the liver with the possibility of traumatic rupture and hemorrhage; 3. hemangioma diameter 3~5cm which is small but with obvious clinical symptoms; 4. progressive increase during observation and malignancy cannot be excluded.