Surgical Treatment of Ruptured Hepatocellular Carcinoma.
- Author:
Ki Doong KIM
1
;
Dong Shik LEE
;
Sung Su YUN
;
Hong Jin KIM
Author Information
1. Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea. hjkim@med.yu.ac.kr
- Publication Type:Original Article
- Keywords:
Ruptured hepatocellular carcinoma;
Transcatheter arterial embolization;
Surgical resection
- MeSH:
Carcinoma, Hepatocellular*;
Emergencies;
Hemoperitoneum;
Hepatectomy;
Hope;
Humans;
Liver;
Liver Cirrhosis;
Male;
Retrospective Studies;
Rupture, Spontaneous;
Sex Ratio;
Survival Rate
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2003;7(1):37-42
- CountryRepublic of Korea
- Language:Korean
-
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 5:1 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.
