Transcatheter arterial chemoembolization combined with surgical resection for the treatment of ruptured hepatocellular carcinoma
10.3760/cma.j.issn.1007-8118.2012.10.015
- VernacularTitle:经导管肝动脉化疗栓塞联合手术切除治疗肝细胞癌破裂出血
- Author:
Zhiwei LI
;
Yuanxi WANG
;
Lie CAI
;
Yu ZHENG
;
Jin CHEN
- Publication Type:Journal Article
- Keywords:
Transarterial chemoembolization;
Hepatectomy;
Hepatocellular cancer;
Rupture
- From:
Chinese Journal of Hepatobiliary Surgery
2012;18(10):777-779
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo study the efficacy of transcatheter arterial chemoembolization (TACE) combined with surgical resection in the treatment of ruptured hepatocellular carcinoma (HCC).MethodsThe clinical data of 26 patients who presented with ruptured HCC to our hospital from January 2008 to December 2011 were retrospectively studied. These patients received TACE (n=19),surgical resection (n=7),and surgical resection after TACE (n=8).ResultsShock in the 19 patients who received TACE was promptly corrected and the vital signs were stabilized.On subsequent CT,the tumors shrunk in size.Salvage liver resection was carried out in 8 patients 1 month after TACE.After treatment,AFP decreased or became normalized,thus the treatment results were good. A one-stage liver resection was carried out in 7 patients. One patient died after operation and peritoneal metastases occurred in 4 patients. Conclusions TACE stopped bleeding from ruptured HCC efficaciously,reduced the need for open exploration,and improved the rate of resection of HCC.TACE combined with surgical resection significantly lowered the rate of abdominal tumor metastases.
