Title: Surgical treatment to the hemorrhage of spontaneous rupture of hepatocellular carcinoma:an analysis of 15 cases
Abstract: Objective To investigate surgical treatment to massive hemorrhage of spontaneous rupture of hepatocellular carcinoma.Methods Data were analyzed retrospectively in 15 liver cancer patients with spontaneous rupture,including lesion location,surgical methods,postoperative homeostasis effects,complications and mortality,and stay days.Results In 15 cases of spontaneous rupture of hepatocellular carcinoma,performed semi-hepatectomy in 5 cases,liver lobe resection in 1 case,irregular hepatectomy in 4 cases,hepatic artery ligation and sutured gelatin sponge filled and omentum to bleeding in 3 cases,gauze packing and selective right hepatic artery ligation in 2 cases.Surgical Results:The surgical homeostasis success rate was 100%;the incidence of postoperative complications was 33.3%(5/15);stay days:19~52 d(mean 22.73±9.27 d),no postoperative deaths.Follow-up results:14 cases followed up,1 patient was lost.Survival time was from 3 to 68 months(mean 37.67±20.50 months),3 patients survived l0,16 and 68 months.1,3-year survival rates were 71.44%(10/14) and 35.71%(5/14).Conclusions Emergency surgery can effectively stop bleeding of the spontaneous rupture of hepatocellular carcinoma and also remove the tumor when the condition permits.Emergency treatment of liver resection is safe and feasible.
Publication Year: 2010
Publication Date: 2010-01-01
Language: en
Type: article
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