Liver Cancer
Copyright ©The Author(s) 2002. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Dec 15, 2002; 8(6): 1063-1066
Published online Dec 15, 2002. doi: 10.3748/wjg.v8.i6.1063
Etiology and management of hemmorrhage in spontaneous liver rupture: a report of 70 cases
Zhe-Yu Chen, Qing-Hui Qi, Zuo-Liang Dong
Zhe-Yu Chen, Qing-Hui Qi, Zuo-Liang Dong, Department of surgery, General Hospital of Tianjin Medical University, Tianjin 300052, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Qing-Hui Qi, Department of surgery,General Hospital, Tianjin Medical University, Tianjin 300052, China
Telephone: +86-22-27812608 Ext 2580 Fax: +86-22-27813550
Received: April 29, 2002
Revised: June 7, 2002
Accepted: June 25, 2002
Published online: December 15, 2002
Abstract

AIM: To analyze the causes and management of hemorrhage in spontaneous liver rupture.

METHODS: Seventy cases of spontaneous liver rupture were retrospectively analyzed for causes of hemorrhage and therapeutic effects of surgical approaches.

RESULTS: It was demonstrated that the causes of spontaneous liver rupture were primary liver cancer in 60 cases (85.7%), cirrhosis in 3 cases (4.3%), liver angioma in 2 cases (2.9%), liver adenoma in 4 cases (5.7%),and secondary liver cancer in 1 case (1.4%). Hemostasis was achieved with surgical approaches in 68 cases (97.1%) and non-surgical approaches in 2 cases (2.9%). Surgical interventions included suture, ligation of hepatic artery, hepatic artery chemoembolization and partial hepatic resection.

CONCLUSION: The results suggest that surgical intervention is still the main therapeutic method and the best procedure that should be selected according to causes of disease and patient’s condition and history.

Keywords: $[Keywords]