Title: The curative effect of hemorrhage due to spontaneous rupture in hepatocellular carcinoma by different methods
Abstract: Objective To evaluate the efficacy of transarterial embolization(TAE) for intraperitoneal hemorrhage due to spontaneous rupture in hepato-cellular carcinoma(HCC).Methods 50 cases with ruptured HCC were divided into 4 groups according to the type of their previous treatment:group A,TAE followed by elective hepatectomy 12;Group B,TAE alone 12;Group C,emergency operation 13;Group D,medical conservative management.Results Celiac arterio-graphy done before the present treatment showed extravasation of contrast material in 6(25%) of the 24 patients in group A and B,and hypervascular tumor was observed in the rest.The hemostasis success rate of group A,B and C were 100%,which were much higher than that of group D(40%)(P0.05).The in-hospital mortality rates of group A,B and C were 0,4% and 17%(P=0.286),which were much lower than that of group D(60%)(P0.01).The 1-year survival rate of group A(76%) was higher than those in group B(48%) and C(44%).There was no 1-year survivor in group D.Conclusion Transarterial embolization is safe and effective for hemorrhage due to spontaneous rupture in hepatocellular carcinoma.For resectable lesions,TAE is a preferential treatment to be given first,then followed by elective hepatectomy.
Publication Year: 2006
Publication Date: 2006-01-01
Language: en
Type: article
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