Analysis of 42 cases of emergency transcatheter arterial embolization in the treatment of spontaneous rupture of hepatocellular carcinoma / 国际外科学杂志

ABSTRACT

Objective To investigate the safety and feasibility of emergency transcatheter arterial embolization in the treatment with spontaneous rupture of hepatocellular carcinoma.Methods The data of 42 patients with spontaneous rupture of hepatocellular carcinoma who were treated by emergency transcatheter arterial embolization from January 2015 to December 2018 in Department of Hepatobiliary Surgery of Chongqing Emergency Medical Center were collected.There were 35 males and 7 females,aged 28-78 years,with an average age of 51 years.The success rate of intubation,postoperative mortality and postoperative complications were observed.Results All patients were successfully intubated,40 cases improved and discharged,1case died within 1 month after operation,who with large amount of bleeding,1 case died after 1 month,who with diffused liver cancer and liver failure,3 cases were complicated liver or kidney failure,in whom 2 cases improved after active treatment.Conclusion Emergency transcatheter arterial embolization has the advantages of less trauma,short operation time,less postoperative complications and good hemostatic effect,which can increase the survival rate of patients under emergency conditions and lay a foundation for subsequent tumor treatment,it should be popularized in clinical work.