Surgical Treatment of Ruptured Hepatocellular Carcinoma / 한국간담췌외과학회지
Korean Journal of Hepato-Biliary-Pancreatic Surgery
;
: 37-42, 2003.
Artigo
em Coreano
| WPRIM
| ID: wpr-150503
ABSTRACT
BACKGROUND/AIMS:
Spontaneous rupture causing massive hemoperitoneum is a potentially life-threatening complication of hepatocellular carcionma (HCC). Hepatic resection provides the only hope of cure for patients with a ruptured HCC. So we reviewed our clinical experience with surgical treatments for ruptured HCC.METHODS:
Between October 1990 and April 2003, twelve cases were treated with liver resection for ruptured HCC at our department. The clinical records were reviewed retrospectively.RESULTS:
Twelve patients underwent hepatectomy. Ages ranged from 44 to 69 years with a mean age of 54.4 years, and sex ratio was 51 with a male dominence. Liver cirrhosis was presented in 9 cases (75%). 9 cases of them underwent staged hepatectomy; the other 3 underwent emergency hepatectomy. Three patients were treated by transcatheter arterial embolization (TAE) before staged hepatectomy. The median survival time were 40 (4~2) months, and overall 1-year and 3-year cumulative survival rates were 81% and 36%.CONCLUSION:
Surgical resection is the only procedure associated with long-term survival for resectable ruptured HCC with good liver function. With or without preoperative TAE, elective hepatectomy is a rational treatment for patients with ruptured HCC.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ruptura Espontânea
/
Razão de Masculinidade
/
Taxa de Sobrevida
/
Estudos Retrospectivos
/
Carcinoma Hepatocelular
/
Emergências
/
Esperança
/
Hemoperitônio
/
Hepatectomia
/
Fígado
Tipo de estudo:
Estudo observacional
Limite:
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Korean Journal of Hepato-Biliary-Pancreatic Surgery
Ano de publicação:
2003
Tipo de documento:
Artigo
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