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World Journal of Surgery

, Volume 29, Issue 10, pp 1316–1318 | Cite as

One-stage Liver Resection for Spontaneous Rupture of Hepatocellular Carcinoma

  • Liu HaiEmail author
  • Peng Yong-Hong
  • Fu Yong
  • Li Ren-Feng
Article

Abstract

The objective of this study was to evaluate the rationale of a policy of one-stage liver resection for selective cases of spontaneous rupture of hepatocellular carcinoma (HCC). Altogether, 36 patients with spontaneous rupture of an HCC admitted between November 1994 and September 2003 underwent a one-stage laparotomy with a view to curative liver resection; 33 cases underwent liver resection successfully, and 3 cases were found to have lesions unresectable at laparotomy and were treated with other hemostatic procedures. The prognostic value was calculated by Kaplan-Meier survival curve analysis. Effective surgical hemostasis was achieved in all patients, with a postoperative mortality rate of 5.8% (2/36). The estimated survivals at 1, 3, and 5 years for patients who underwent liver resection were 88%, 54%, and 51%, respectively. These results suggest that a one-stage surgical operation offers a feasible, effective treatment for patients with ruptured HCC in whom the tumor is judged likely to be resectable on the computed tomography scan and who have a liver function grade of A or B according to Child-Pugh criteria.

Keywords

Methylene Blue Hepatic Artery Liver Resection Transcatheter Arterial Embolization Spontaneous Rupture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Société Internationale de Chirurgie 2005

Authors and Affiliations

  1. 1.Department of Surgical Oncology Hainan Provincial People’s HospitalHaikouPeople’s Republic of China

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