Title: Surgical management of spontaneous rupture of hepatocellular carcinoma:a report of 46 cases
Abstract: Objective To study the rational treatment of spontaneous rupture of hepatocellular carcinoma(SRHCC).Methods The clinical data of 46 patients with SRHCC treated by 3 operation strategies during five and a half years were retrospectively analyzed.Results Compared with non-SRHCC matched selective operation group(group B),emergency hepatectomy(group A) had more complications and high mortality,but the long-term survival was not significantly different(P0.05).Compared with non-SRHCC matched selective operation group(group),second stage hepatectomy(group C)had similar rate of complications and mortality,but the long-term survival was worse(P0.05).Compared with group C,group A had more complications and higher mortality,but the long-term survival rate was better(P0.05).Conclusions The patients with SRHCC should be managed individually.Emergency hepatectomy is safe and effect,it can be recommended in selected patients.
Publication Year: 2010
Publication Date: 2010-01-01
Language: en
Type: article
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