摘要
Abstract
Objective To study the effect of liver resection for spontaneous rupture of primary hepatocellulal carcinoma (PHCC).Methods The clinical data of 12 patients with ruptured PHCC treated by liver resection in Xiangya Hospital since 1970 were ana-lyzed retrospectively.Results There were 10 males and 2 females with mean age of 42 (ranged 22 -65 ) years in this series. Of the 12 patients, 11underwent emergent hepatectomy and one 2-stage hepatectomy, including left segmental liver resection in 6 patients, left medianlobectomy in 1 ,left hemihepatectomy in 1, partial right hepatectomy in 2, and tumor resection in 2. There was no operative death in11 patients with liver function in grade A of Child-Paugh classification, but 1 patient with grade B liver function died of liver failureafter operation. The operative mortality was 8.3%. In 11 survived patients, the postoperative median survival time was 16.5months. The 1-,3-,5-year survival rate was 72.7%, 18.2%, 9.1% respectively ;among them one patient has been alive free of thetumor for 25 years and 9 months.Conclusion liver resection is the best treatment for ruptured PHCC when possible,which can result in long survival time.关键词
liver resection/spontaneous ruptare/primary hepatocellular carcinomaKey words
liver resection/spontaneous ruptare/primary hepatocellular carcinoma分类
医药卫生
