Diagnosis and treatment of acute abdomen associated with liver cancer rupture / 国际外科学杂志

ABSTRACT

Liver cancer rupture is a serious complication of liver cancer, often with acute abdomen as the first symptom, which has features of acute onset, rapid progress, re-bleeding risk, high mortality, is a critical and severe disease of hepatobiliary surgery. Clinical diagnosis can be made by hepatitis cirrhosis and other related history, acute abdomen clinical manifestations and signs of acute abdomen and related auxiliary examination. The main treatment of acute abdomen associated with liver cancer rupture include conservative treatment, interventional therapy and surgical treatment, and other include radio-frequency ablation and liver transplantation and so on. However, the indications and timing of treatment for liver cancer rupture have not been clearly standardized, and it has been controversial when to choose the treatment plan for patients with liver cancer rupture. For clinicians, rapid diagnosis, effective hemostasis, saving the patient′s life and bringing the best prognosis are the key and difficult points of clinical work. In this paper, the progress of diagnosis and treatment of acute abdomen associated with liver cancer rupture is reviewed and summarized, and the treatment plan of acute abdomen associated with liver cancer rupture, the timing and indication of conservative treatment, interventional therapy and surgical treatment for liver cancer rupture are considered.