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Conference Paper: Management of spontaneous rupture HCC in the post RFA era
Title | Management of spontaneous rupture HCC in the post RFA era |
---|---|
Authors | |
Issue Date | 2013 |
Publisher | Clinical Center of Serbia, Institute for Digestive Diseases. |
Citation | The 10th Congress of the European–African Hepato Pancreato Biliary Association (E-Ahpba Congress), Belgrade, Serbia, 29-31 May 2013. In Acta Chirurgica Lugoslavica, v. 60 n. 3, p. 44 How to Cite? |
Abstract | Objectives:To investigate the outcome and prognosis of
spontaneous ruptured HCC by analysis of a cohort of 189
patients.
Method:All patients who presented with ruptured HCC
and required hospitalisation from 1991 to 2010 were recorded
amongst the 5283 patients with the diagnosis of
HCC. The patients were categorised into two 10-year periods.
(Period 1 n=70), (Period 2 n= 119). Both groups were
managed according to standard treatment protocol and RFA
devices become available in the second period.
Results:Both groups of patients were hepatitis B virus predominant.
There was no different in terms of age, liver function,
preoperative morbidities and stage of disease in the two
groups of patients. In period 2 patients, the 30 days hospital
mortality rate was 2.5% (3 out of 119) vs 14.2% (10 out of
70) in period 1 (p=0.011). In period 2 73.1% patients received
RFA as a haemostasis modality. The one year survival
in period 2 was 18.9% vs 18.8% in period 1 (p=0.348).
After multivariate analysis by cox regression model haemostasis
by RFA provided a favorable survival outome.
Conclusions:RFA effectively reduced surgical mortality
with this disease entity even in a population where hepatitis
B related cirrhosis was common. |
Description | This journal issue entitled: Special issue: Abstracts of the E-Ahpba Congress, 29-31 May 2013, Belgrade, Serbia Abstract no. 20.11 |
Persistent Identifier | http://hdl.handle.net/10722/187038 |
ISSN |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Cheung, TT | en_US |
dc.contributor.author | Poon, RTP | en_US |
dc.contributor.author | Fan, ST | en_US |
dc.contributor.author | Lo, CM | en_US |
dc.date.accessioned | 2013-08-20T12:26:44Z | - |
dc.date.available | 2013-08-20T12:26:44Z | - |
dc.date.issued | 2013 | en_US |
dc.identifier.citation | The 10th Congress of the European–African Hepato Pancreato Biliary Association (E-Ahpba Congress), Belgrade, Serbia, 29-31 May 2013. In Acta Chirurgica Lugoslavica, v. 60 n. 3, p. 44 | en_US |
dc.identifier.issn | 0354-950X | - |
dc.identifier.uri | http://hdl.handle.net/10722/187038 | - |
dc.description | This journal issue entitled: Special issue: Abstracts of the E-Ahpba Congress, 29-31 May 2013, Belgrade, Serbia | - |
dc.description | Abstract no. 20.11 | - |
dc.description.abstract | Objectives:To investigate the outcome and prognosis of spontaneous ruptured HCC by analysis of a cohort of 189 patients. Method:All patients who presented with ruptured HCC and required hospitalisation from 1991 to 2010 were recorded amongst the 5283 patients with the diagnosis of HCC. The patients were categorised into two 10-year periods. (Period 1 n=70), (Period 2 n= 119). Both groups were managed according to standard treatment protocol and RFA devices become available in the second period. Results:Both groups of patients were hepatitis B virus predominant. There was no different in terms of age, liver function, preoperative morbidities and stage of disease in the two groups of patients. In period 2 patients, the 30 days hospital mortality rate was 2.5% (3 out of 119) vs 14.2% (10 out of 70) in period 1 (p=0.011). In period 2 73.1% patients received RFA as a haemostasis modality. The one year survival in period 2 was 18.9% vs 18.8% in period 1 (p=0.348). After multivariate analysis by cox regression model haemostasis by RFA provided a favorable survival outome. Conclusions:RFA effectively reduced surgical mortality with this disease entity even in a population where hepatitis B related cirrhosis was common. | - |
dc.language | eng | en_US |
dc.publisher | Clinical Center of Serbia, Institute for Digestive Diseases. | - |
dc.relation.ispartof | Acta Chirurgica Lugoslavica | en_US |
dc.title | Management of spontaneous rupture HCC in the post RFA era | en_US |
dc.type | Conference_Paper | en_US |
dc.identifier.email | Cheung, TT: cheung68@hku.hk | en_US |
dc.identifier.email | Poon, RTP: poontp@hku.hk | en_US |
dc.identifier.email | Fan, ST: stfan@hku.hk | en_US |
dc.identifier.email | Lo, CM: chungmlo@hkucc.hku.hk | en_US |
dc.identifier.authority | Poon, RTP=rp00446 | en_US |
dc.identifier.authority | Fan, ST=rp00355 | en_US |
dc.identifier.authority | Lo, CM=rp00412 | en_US |
dc.identifier.hkuros | 220332 | en_US |
dc.identifier.volume | 60 | - |
dc.identifier.issue | 3 | - |
dc.identifier.spage | 44 | - |
dc.identifier.epage | 44 | - |
dc.identifier.issnl | 0354-950X | - |