急诊肝切除术治疗肝癌自发性破裂16例

Emergency liver resection for spontaneous rupture of primary hepatocellular carcinoma

目的:探讨急诊肝切除术治疗肝癌自发性破裂的适应证和疗效。方法:对16例肝癌自发性破裂患者行急诊肝切除术,其中男10例,女6例,平均年龄55.6岁,术前均行诊断性腹腔穿刺、B超和CT检查。术后1个月内均行TACE治疗。结果:急诊手术无死亡病例,术后并发症发生率25.0%(4/16)。术后1、3年生存率分别为81.25%、50.00%。结论:急诊左半肝切除术或左肝外叶切除术治疗肝癌自发性破裂可获得良好预后。

Objective：To investigate the indications and prognosis of emergency liver resection for spontaneous rupture of primary hepatocellular carcinoma. Methods： A retrospective clinical analysis was performed for 16 patients who underwent emergency liver resection due to spontaneous rupture of primary hepatocellular carcinoma. Spontaneous rupture of primary hepatocellular carcinoma was found in 10 men and 6 women with a mean age of 55.6 years. Preoperative diagnostic peritoneocentesis,B ultrasonic graphy and CT scan was performed for all the patients. Results： The postoperative mortality rate and complication rate were 0 and 25%,respectively. All the patients received comprehensive treatment such as TAE, and the estimated 1-, and 5-year survival rates were 81.25% and 50%,respectively. Conclusions： A favorable prognosis may be achieved by e-mergency left hemihepatectomy and left lateral lobe resection.