BACKGROUND Hepatic hemangioma (HH) is the most common benign liver tumor. However, the relative impact of lesion location and tumor size on postoperative outcomes following trans-arterial embolization (TAE) combined with laparoscopic microwave ablation (LMWA) remains incompletely defined. In addition, heat-sink-related effects during ablation may contribute to perioperative complications, particularly in large or deeply located lesions. AIM To evaluate the association of lesion location and tumo