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Article: Spontaneous ruptured hepatocellular carcinoma. An appraisal of surgical treatment

TitleSpontaneous ruptured hepatocellular carcinoma. An appraisal of surgical treatment
Authors
Issue Date1989
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.annalsofsurgery.com
Citation
Annals Of Surgery, 1989, v. 210 n. 1, p. 24-28 How to Cite?
AbstractSpontaneous rupture with bleeding is not an infrequent complication of hepatocellular carcinoma (HCC). From May, 1972 to January, 1987, 56 symptomatic patients with ruptured HCC were managed by plication of the lesion (2 patients), ligation of either the common hepatic artery, CHAL, (39 patients), or selectively , the arterial branch supplying the tumor-bearing lobe of liver. SHAL, (8 patients), and hepatic resection, HR, (7 patients). Effective hemostasis was achieved in 68.1% of patients with the use of hepatic artery ligation (HAL). SHAL provides a comparable control of bleeding but no demonstrable reduction of postoperative organ failure when compared with CHAL. The operative treatment employed had no influence on either the postoperative rates of morbidity, mortality, or survival. However, the rate of hospital mortality was high among the four patients who had emergency anatomical lobectomy, despite the absence of severe cirrhosis. Hepatic arery ligation, either CHAL or SHAL, is a satisfactor definitive hemostatic measure for unresectable HCC when it ruptured. SHAL is probably preferred to routine emergency HR for patients with potentially resectable lesions. Nonetheless, for selected patients with easily accessible lesions, segmentectomy or subsegmentectomy could still be contemplated in the absence of severe cirrhosis.
Persistent Identifierhttp://hdl.handle.net/10722/172593
ISSN
2015 Impact Factor: 8.569
2015 SCImago Journal Rankings: 4.503
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLai, ECSen_HK
dc.contributor.authorWu, KMen_HK
dc.contributor.authorChoi, TKen_HK
dc.contributor.authorFan, STen_HK
dc.contributor.authorWong, Jen_HK
dc.date.accessioned2012-10-30T06:23:36Z-
dc.date.available2012-10-30T06:23:36Z-
dc.date.issued1989en_HK
dc.identifier.citationAnnals Of Surgery, 1989, v. 210 n. 1, p. 24-28en_HK
dc.identifier.issn0003-4932en_HK
dc.identifier.urihttp://hdl.handle.net/10722/172593-
dc.description.abstractSpontaneous rupture with bleeding is not an infrequent complication of hepatocellular carcinoma (HCC). From May, 1972 to January, 1987, 56 symptomatic patients with ruptured HCC were managed by plication of the lesion (2 patients), ligation of either the common hepatic artery, CHAL, (39 patients), or selectively , the arterial branch supplying the tumor-bearing lobe of liver. SHAL, (8 patients), and hepatic resection, HR, (7 patients). Effective hemostasis was achieved in 68.1% of patients with the use of hepatic artery ligation (HAL). SHAL provides a comparable control of bleeding but no demonstrable reduction of postoperative organ failure when compared with CHAL. The operative treatment employed had no influence on either the postoperative rates of morbidity, mortality, or survival. However, the rate of hospital mortality was high among the four patients who had emergency anatomical lobectomy, despite the absence of severe cirrhosis. Hepatic arery ligation, either CHAL or SHAL, is a satisfactor definitive hemostatic measure for unresectable HCC when it ruptured. SHAL is probably preferred to routine emergency HR for patients with potentially resectable lesions. Nonetheless, for selected patients with easily accessible lesions, segmentectomy or subsegmentectomy could still be contemplated in the absence of severe cirrhosis.en_HK
dc.languageengen_US
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.annalsofsurgery.comen_HK
dc.relation.ispartofAnnals of Surgeryen_HK
dc.subject.meshCarcinoma, Hepatocellular - Mortality - Pathology - Surgeryen_US
dc.subject.meshHemostasis, Surgicalen_US
dc.subject.meshHepatectomyen_US
dc.subject.meshHepatic Arteryen_US
dc.subject.meshHumansen_US
dc.subject.meshLigationen_US
dc.subject.meshLiver Neoplasms - Mortality - Pathology - Surgeryen_US
dc.subject.meshMethodsen_US
dc.subject.meshPostoperative Complicationsen_US
dc.subject.meshRupture, Spontaneousen_US
dc.titleSpontaneous ruptured hepatocellular carcinoma. An appraisal of surgical treatmenten_HK
dc.typeArticleen_HK
dc.identifier.emailFan, ST: stfan@hku.hken_HK
dc.identifier.emailWong, J: jwong@hkucc.hku.hken_HK
dc.identifier.authorityFan, ST=rp00355en_HK
dc.identifier.authorityWong, J=rp00322en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1097/00000658-198907000-00004-
dc.identifier.pmid2545172-
dc.identifier.scopuseid_2-s2.0-0024351744en_HK
dc.identifier.volume210en_HK
dc.identifier.issue1en_HK
dc.identifier.spage24en_HK
dc.identifier.epage28en_HK
dc.identifier.isiWOS:A1989AE48800004-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLai, ECS=36932159600en_HK
dc.identifier.scopusauthoridWu, KM=36151664200en_HK
dc.identifier.scopusauthoridChoi, TK=7202770029en_HK
dc.identifier.scopusauthoridFan, ST=7402678224en_HK
dc.identifier.scopusauthoridWong, J=8049324500en_HK

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