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Conference Paper: Management of spontaneous rupture HCC in the post RFA era

TitleManagement of spontaneous rupture HCC in the post RFA era
Authors
Issue Date2013
PublisherClinical Center of Serbia, Institute for Digestive Diseases.
Citation
10th Congress of the European–African Hepato Pancreato Biliary Association (E-Ahpba Congress), Belgrade, Serbia, 29-31 May 2013. In Acta chirurgica Iugoslavica, v. 60 n. 3, p. 44 How to Cite?
AbstractObjectives:To investigate the outcome and prognosis of spontaneous ruptured HCC by analysis of a cohort of 189 patients. Method:All patients who presented with ruptured HCC and required hospitalisation from 1991 to 2010 were recorded amongst the 5283 patients with the diagnosis of HCC. The patients were categorised into two 10-year periods. (Period 1 n=70), (Period 2 n= 119). Both groups were managed according to standard treatment protocol and RFA devices become available in the second period. Results:Both groups of patients were hepatitis B virus predominant. There was no different in terms of age, liver function, preoperative morbidities and stage of disease in the two groups of patients. In period 2 patients, the 30 days hospital mortality rate was 2.5% (3 out of 119) vs 14.2% (10 out of 70) in period 1 (p=0.011). In period 2 73.1% patients received RFA as a haemostasis modality. The one year survival in period 2 was 18.9% vs 18.8% in period 1 (p=0.348). After multivariate analysis by cox regression model haemostasis by RFA provided a favorable survival outome. Conclusions:RFA effectively reduced surgical mortality with this disease entity even in a population where hepatitis B related cirrhosis was common.
DescriptionSpecial issue: Abstracts of the E-Ahpba Congress, 29-31 May 2013, Belgrade, Serbia
Abstract no. 20.11
Persistent Identifierhttp://hdl.handle.net/10722/187038
ISSN
2015 SCImago Journal Rankings: 0.158

 

DC FieldValueLanguage
dc.contributor.authorCheung, TTen_US
dc.contributor.authorPoon, RTPen_US
dc.contributor.authorFan, STen_US
dc.contributor.authorLo, CMen_US
dc.date.accessioned2013-08-20T12:26:44Z-
dc.date.available2013-08-20T12:26:44Z-
dc.date.issued2013en_US
dc.identifier.citation10th Congress of the European–African Hepato Pancreato Biliary Association (E-Ahpba Congress), Belgrade, Serbia, 29-31 May 2013. In Acta chirurgica Iugoslavica, v. 60 n. 3, p. 44en_US
dc.identifier.issn0354-950X-
dc.identifier.urihttp://hdl.handle.net/10722/187038-
dc.descriptionSpecial issue: Abstracts of the E-Ahpba Congress, 29-31 May 2013, Belgrade, Serbia-
dc.descriptionAbstract no. 20.11-
dc.description.abstractObjectives:To investigate the outcome and prognosis of spontaneous ruptured HCC by analysis of a cohort of 189 patients. Method:All patients who presented with ruptured HCC and required hospitalisation from 1991 to 2010 were recorded amongst the 5283 patients with the diagnosis of HCC. The patients were categorised into two 10-year periods. (Period 1 n=70), (Period 2 n= 119). Both groups were managed according to standard treatment protocol and RFA devices become available in the second period. Results:Both groups of patients were hepatitis B virus predominant. There was no different in terms of age, liver function, preoperative morbidities and stage of disease in the two groups of patients. In period 2 patients, the 30 days hospital mortality rate was 2.5% (3 out of 119) vs 14.2% (10 out of 70) in period 1 (p=0.011). In period 2 73.1% patients received RFA as a haemostasis modality. The one year survival in period 2 was 18.9% vs 18.8% in period 1 (p=0.348). After multivariate analysis by cox regression model haemostasis by RFA provided a favorable survival outome. Conclusions:RFA effectively reduced surgical mortality with this disease entity even in a population where hepatitis B related cirrhosis was common.-
dc.languageengen_US
dc.publisherClinical Center of Serbia, Institute for Digestive Diseases.-
dc.relation.ispartofActa chirurgica Iugoslavicaen_US
dc.titleManagement of spontaneous rupture HCC in the post RFA eraen_US
dc.typeConference_Paperen_US
dc.identifier.emailCheung, TT: cheung68@hku.hken_US
dc.identifier.emailPoon, RTP: poontp@hku.hken_US
dc.identifier.emailFan, ST: stfan@hku.hken_US
dc.identifier.emailLo, CM: chungmlo@hkucc.hku.hken_US
dc.identifier.authorityPoon, RTP=rp00446en_US
dc.identifier.authorityFan, ST=rp00355en_US
dc.identifier.authorityLo, CM=rp00412en_US
dc.identifier.hkuros220332en_US
dc.identifier.volume60-
dc.identifier.issue3-
dc.identifier.spage44-
dc.identifier.epage44-
dc.customcontrol.immutableyiu 140428-

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