TREATMENT AND PROGNOSIS OF RUPTURED HEPATOCELLULAR CARCINOMA

• NAKAZAKI Haruhiro

  First Department of Surgery, School of Medicine, Toho University

• WATANABE Masashi

  First Department of Surgery, School of Medicine, Toho University

• MAEDA Toshimichi

  First Department of Surgery, School of Medicine, Toho University

• HANAWA Shigeki

  First Department of Surgery, School of Medicine, Toho University

• HASEBE Yukitake

  First Department of Surgery, School of Medicine, Toho University

• TOKURA Natsuki

  First Department of Surgery, School of Medicine, Toho University

• OOSHIRO Mitsuru

  First Department of Surgery, School of Medicine, Toho University

• TAKITA Wataru

  First Department of Surgery, School of Medicine, Toho University

• KURAMOTO Shintaro

  First Department of Surgery, School of Medicine, Toho University

• YOSHIO Toshifumi

  First Department of Surgery, School of Medicine, Toho University

• NONAKA Hiroko

  First Department of Pathology, School of Medicine, Toho University

Bibliographic Information

Other Title

• 肝細胞癌破裂の治療と成績

Abstract

Prognoses of 11 patients treated for spontaneously ruptured hepatocellular carcinoma were studied. Four patients of them were in hemorrhagic shock state on admission, and nine patients underwent emergency transcatheter arterial embolisation (TAE). TAE was effective for six patients, and four of the six patients were performed second-stage hepatectomy. One of the four patients is alive for 1.5 years, 3 patients were alive for 2.5 years, 1.5 years and 1 year, respectively. Another three patients for whom TAE was ineffective underwent emergency operation. Two out of the three patients undergoing hemos-tatic suture for the ruptured lesion died of hepatic failure in an early stage agter the operation. Remaining one patient undergoing one-stage hepatectomy is alive as of 2 years and 3 months after the operation. In the treatment of patients with ruptured heparoma, we usually have no enough time to evaluate the liver function, because the disease itself demand an emergency treatment. So it is recommended first to perform emergency TAE for the ruptured hepatoma, and then hepatectomy is added for patients whose conditions permit the operation. This two-step approach may contribute to an improvement of the prognosis.

Journal

• The journal of the Japanese Practical Surgeon Society

  The journal of the Japanese Practical Surgeon Society 56 (10), 2047-2052, 1995

  Japan Surgical Association

Keywords

• TAE

Details

• CRID: 1390282680292223488
• NII Article ID: 10008515982
• NII Book ID: AN00198696
• DOI: 10.3919/ringe1963.56.2047
• ISSN: 21892075
• ISSN: 03869776
• Web Site: http://www.jstage.jst.go.jp/article/ringe1963/56/10/56_10_2047/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1996085717
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed