Abstract:Objective:To explore the method and curative effect of therapy for spontaneous rupture and hemorrhage of liver cancer.
Methods :Thirty-five cases of spontaneous rupture and hemorrhage of liver cancer admitted to our hospital from January 1998 to February 2007 were reviewed. Among them, 12 cases underwent radical operation (including 5 cases of operation after interventional therapy), 9 cases had palliative operation and 19 cases received interventional therapy (5 cases had radical operation later).
Results:In the radical operation group, the bleeding completely stopped after operation, but 1 case died of hepatic failure. In the palliative operation group, 3 cases had re-bleeding and two of them died of hepatic failure. In the interventional therapy group, 1 case had re-bleeding, 2 cases had hepatic failure and one of them died. In the 12 cases of radical operation, there were 9 cases of one-year survival, 7 cases of two-year survial and 4 cases of five-year survival. In 9 cases of palliative operation, there were 2 cases of one-year survival and 1 case of two-year survival. In 14 cases of interventional therapy, the one-year, two-year and five-year survival were 8 cases, 4 cases and 1 case, respectively.
Conclusions:For spontaneous rupture and hemorrhage of liver cancer, interventional therapy can stop bleeding effectively with less complications, and can prolong survival time, so it can be used as the first choice for patients who have no chance of radical resection. Furthermore, hepatic arteriography can evaluate the possibility of radical operation and avoid unnecessary emergency operation.