Long-term results of elective hepatectomy for the treatment of ruptured hepatocellular carcinoma

Abstract

Survival rates after elective hepatectomy in patients with ruptured HCC are good, even if the disease is classified as stage 4.

Prognosis and therapy for ruptured hepatocellular carcinoma: Problems with staging and treatment strategy

“…In our study, patients with a ruptured HCC treated curatively showed better prognosis than those not treated curatively (22.7 vs. 1.8 months, P < 0.001). The first step for treatment of a ruptured HCC is obtaining hemostasis and cardiorespiratory stabilization [9,10]. In addition, TAE can bridge some patients with a ruptured HCC to a hepatectomy procedure, while a majority of naïve cases can be treated by resection after TAE.…”

Outcomes of emergent embolisation of ruptured hepatocellular carcinoma in a western population

“…15,23,25 Prior studies evaluating embolisation in HCC rupture 15,16,18,19 focused on Eastern populations in which hepatitis B infection is the dominant contributing risk factor to the development of HCC. By evaluating results in a Western population, the proportions of patients in the present series Figure 4 KaplaneMeier curve for survival.…”

“…Transcatheter embolisation has been shown to be effective at achieving haemostasis in the acute setting 15e17 as well as stabilising patients for staged hepatectomy. 18,19 However, previous studies examining emergent catheter-based management of ruptured HCC focus on populations in which HCC is most commonly related to hepatitis B and the presentation of HCC more frequently precedes liver decompensation. 20,21 Patients with compensated liver disease free of portal hypertension are more often tolerant of surgical resection or aggressive transcatheter embolisation.…”

Spontaneous Rupture of a Simple Hepatic Cyst: Report of a Case

“…Spontaneous rupture of hepatocellular carcinoma has occurred occasionally 18,19 , but spontaneous rupture appears to be a rare complication of nonparasitic hepatic cysts 1 16 . Simple hepatic cysts occasionally disappear spontaneously without symptoms 20,21 .…”