Characteristics and Prognosis after Resection for Ruptured Hepatocellular Carcinoma
Korean Journal of Hepato-Biliary-Pancreatic Surgery
;
: 37-41, 2006.
Article
Dans Coréen
| WPRIM
| ID: wpr-102638
ABSTRACT
PURPOSE:
A spontaneous rupture is a rare but life-threatening complication in patients with a hepatocellular carcinoma (HCC). Whether this condition has any influence on the subsequent outcome following a resection is unclear. Therefore, the long-term results of liver resection were compared in patients with and without a tumor rupture.METHOD:
This retrospective study was conducted on 17 patients with a spontaneous rupture of an HCC out of 256 with an HCC who underwent hepatic resection.RESULTS:
Reduced hemoglobin and albumin, as well as increased leukocytosis, a poor Child Class, large tumor and portal vein tumor thrombosis were more frequent clinical findings in patients with a ruptured HCC. The postoperative complication and extrahepatic recurrence rates were similar between the two groups. The 1- and 3- year survival rates in the 17 patients with a ruptured HCC were 41.2 and 17.7%, respectively, while these were 80.3 and 48.3%, respectively, in the 239 patients without a rupture. However, when these patients were compared exclusively with the 8 patients with a corresponding AJCC/UICC 6th ed. TNM stage IIIB disease without a rupture (50 and 0%, respectively), no significant difference was found in the overall survival rates between the groups.CONCLUSION:
The surgical outcomes of stage matched patients with and without a ruptured HCC were similar.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Veine porte
/
Complications postopératoires
/
Pronostic
/
Récidive
/
Rupture
/
Rupture spontanée
/
Thrombose
/
Taux de survie
/
Études rétrospectives
/
Carcinome hépatocellulaire
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Enfant
/
Humains
langue:
Coréen
Texte intégral:
Korean Journal of Hepato-Biliary-Pancreatic Surgery
Année:
2006
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS