Elective laparoscopic hepatectomy in the treatment of ruptured hepatocellular carcinoma_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

CHENG Yao ,  TU Bing , LIU Zuojin , GONG Jianping

Department of Hepatobiliary Surgery, The Second Affiliated Hospital, Chongqing Medical University, Chongqing 400010, P. R. China;

Corresponding author：

TU Bing, Email: tubing2015@sina.com

Keywords：

ruptured hepatocellular carcinoma; laparoscopic hepatectomy; elective surgery

DOI：

10.7507/1007-9424.201802049

Video：

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Objective To investigate the feasibility of elective laparoscopic hepatectomy in the treatment of ruptured hepatocellular carcinoma. Methods We tried to perform an elective laparoscopic hepatectomy for a middle-aged man who had a ruptured hepatocellular carcinoma without active hemorrhage. The data of this patient was summarized. Results The patient received the elective laparoscopic hepatectomy, and the liver lesions were completely removed. The operation was successful. Operative time was 300 min and intraoperative bleeding was 500 mL. Postoperative recovery of this patient was good and no complication occurred. The abdominal drainage tube was removed on 4 days after operation, and he discharged on 8 days after operation. The pathology confirmed that the hepatocellular carcinoma was moderately differentiated and ruptured. Conclusion Elective laparoscopic hepatectomy is safe and feasible in the treatment of ruptured hepatocellular carcinoma for specific patient, but this operation needs to be performed by experienced surgeons with laparoscopic skills.

Citation： CHENG Yao, TU Bing, LIU Zuojin, GONG Jianping. Elective laparoscopic hepatectomy in the treatment of ruptured hepatocellular carcinoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2018, 25(4): 467-472. doi: 10.7507/1007-9424.201802049 Copy

1.	Siegel RL, Miller KD, Jemal A. Cancer statistics, 2016. CA Cancer J Clin, 2016, 66(1): 7-30.
2.	Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015. CA Cancer J Clin, 2016, 66(2): 115-132.
3.	中华人民共和国卫生和计划生育委员会医政医管局. 原发性肝癌诊疗规范(2017 年版). 传染病信息, 2017, 16(3): 705-720.
4.	Yoshida H, Mamada Y, Taniai N, et al. Spontaneous ruptured hepatocellular carcinoma. Hepatol Res, 2016, 46(1): 13-21.
5.	Hiraoka A, Kawamura T, Aibiki T, et al. Prognosis and therapy for ruptured hepatocellular carcinoma: problems with staging and treatment strategy. Eur J Radiol, 2015, 84(3): 366-371.
6.	Kudo M, Chung H, Osaki Y. Prognostic staging system for hepatocellular carcinoma (CLIP score): its value and limitations, and a proposal for a new staging system, the Japan Integrated Staging Score (JIS score). J Gastroenterol, 2003, 38(3): 207-215.
7.	Chan WH, Hung CF, Pan KT, et al. Impact of spontaneous tumor rupture on prognosis of patients with T4 hepatocellular carcinoma. J Surg Oncol, 2016, 113(7): 789-795.
8.	Moris D, Chakedis J, Sun SH, et al. Management, outcomes, and prognostic factors of ruptured hepatocellular carcinoma: a systematic review. J Surg Oncol, 2017, [Epub ahead of print].
9.	Aoki T, Kokudo N, Matsuyama Y, et al. Prognostic impact of spontaneous tumor rupture in patients with hepatocellular carcinoma: an analysis of 1160 cases from a nationwide survey. Ann Surg, 2014, 259(3): 532-542.
10.	Rijckborst V, Ter Borg MJ, Tjwa ET, et al. Short article: Management of ruptured hepatocellular carcinoma in a European tertiary care center. Eur J Gastroenterol Hepatol, 2016, 28(8): 963-966.
11.	Ou D, Yang H, Zeng Z, et al. Comparison of the prognostic influence of emergency hepatectomy and staged hepatectomy in patients with ruptured hepatocellular carcinoma. Dig Liver Dis, 2016, 48(8): 934-939.
12.	Fung AKY, Chong CCN, Lee KF, et al. Outcomes of emergency and interval hepatectomy for ruptured resectable hepatocellular carcinoma: a single tertiary referral centre experience. Hepatoma Res, 2017, 3: 196-204.【该文未查到, 请补充PMID号或文章网址以供核对, 谢谢！】.
13.	Zhong F, Cheng XS, He K, et al. Treatment outcomes of spontaneous rupture of hepatocellular carcinoma with hemorrhagic shock: a multicenter study. Springerplus, 2016, 5(1): 1101.
14.	Fan WZ, Zhang YQ, Yao W, et al. Is Emergency Transcatheter Hepatic Arterial Embolization Suitable for Spontaneously Ruptured Hepatocellular Carcinoma in Child-Pugh C Cirrhosis? J Vasc Interv Radiol, 2018, 29(3): 404-412.
15.	Monroe EJ, Kogut MJ, Ingraham CR, et al. Outcomes of emergent embolisation of ruptured hepatocellular carcinoma in a western population. Clin Radiol, 2015, 70(7): 730-735.
16.	Uchiyama H, Minagawa R, Itoh S, et al. Favorable Outcomes of Hepatectomy for Ruptured Hepatocellular Carcinoma: Retrospective Analysis of Primary R0-Hepatectomized Patients. Anticancer Res, 2016, 36(1): 379-385.
17.	Chan AC, Dai JW, Chok KS, et al. Prognostic influence of spontaneous tumor rupture on hepatocellular carcinoma after interval hepatectomy. Surgery, 2016, 159(2): 409-417.
18.	Zhang DZ, Zhang K, Wang XP, et al. Patients with spontaneously ruptured hepatocellular carcinoma benefit from staged surgical resection after successful transarterial embolization. Asian Pac J Cancer Prev, 2015, 16(1): 315-319.
19.	Tanaka S, Kaibori M, Ueno M, et al. Surgical Outcomes for the Ruptured Hepatocellular Carcinoma: Multicenter Analysis with a Case-Controlled Study. J Gastrointest Surg, 2016, 20(12): 2021-2034.
20.	Bouliaris K, Christodoulidis G, Symeonidis D, et al. Damage Control Surgery for Hepatocellular Cancer Rupture in an Elderly Patient: Survival and Quality of Life. Case Rep Emerg Med, 2015, 2015: 536029.
21.	Tsuchiya M, Otsuka Y, Maeda T, et al. The laparoscopic hepatectomy for ruptured hepatocellular carcinoma controlled after transcatheter arterial embolization. Journal of Microwave Surgery, 2012, 30:151-155. 【该文未查到, 请补充PMID号或文章网址以供核对, 谢谢！】.
22.	Lang BH, Poon RT, Fan ST, et al. Influence of laparoscopy on postoperative recurrence and survival in patients with ruptured hepatocellular carcinoma undergoing hepatic resection. Br J Surg, 2004, 91(4): 444-449.
23.	Belgaumkar A, Carswell KA, Patel AG. Laparoscopic resection of ruptured liver tumors. J Laparoendosc Adv Surg Tech A, 2009, 19(5): 641-645.
24.	Goh BKP, Lee LS, Chow PKH. Early laparoscopic resection of ruptured hepatocellular carcinoma. CRSLS, 2015, 19(1): 1-4.
25.	Kawaoka T, Fukada T, Kuwahara T, et al. Laparoscopic left lateral segmentectomy for spontaneously hemostatic ruptured hepatocellular carcinoma: a case report. Yamaguchi Medical Journal, 2013, 62(1):61-66.【该文未查到, 请补充PMID号或文章网址以供核对, 谢谢！】.
26.	Xia F, Lau WY, Qian C, et al. Continuous occlusion of hepatic artery proper for prevention of blood loss in partial hepatectomy for ruptured hepatocellular carcinoma: a case-matched comparative study. Ann Surg Oncol, 2011, 18(6): 1638-1643.
27.	Gao J, Zhou Y, Zhang Q, et al. Early Laparoscopic Radiofrequency Ablation for Spontaneous Rupture of Hepatocellular Carcinoma. J Laparoendosc Adv Surg Tech A, 2016, 26(7): 560-566.
28.	Goh BKP, Chow PKH. Early hand-assisted laparoscopic resection of ruptured hepatocellular carcinoma. CRSLS, 2014, 18(4): 1-4.
29.	Zhou S, Zhang E, Liang B, et al. Distilled water lavage during surgery improves long-term outcomes of patients with ruptured hepatocellular carcinoma. Journal of Gastrointestinal Surgery, 2015, 19(7): 1262-1270. 【该文未查到, 请补充PMID号或文章网址以供核对, 谢谢！】.
30.	Chang YM, Hsu KF, Yu JC, et al. Distilled water peritoneal lavage in patients with rupture hepatocellular carcinoma. Hepatogastroenterology, 2013, 60(121): 140-143.
31.	Zheng SZ, Liu DJ, Sun P, et al. Feasibility and safety of sorafenib treatment in hepatocellular carcinoma patients with spontaneous rupture. World J Gastroenterol, 2014, 20(43): 16275-16281.

1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2016. CA Cancer J Clin, 2016, 66(1): 7-30.
2. Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015. CA Cancer J Clin, 2016, 66(2): 115-132.
3. 中华人民共和国卫生和计划生育委员会医政医管局. 原发性肝癌诊疗规范(2017 年版). 传染病信息, 2017, 16(3): 705-720.
4. Yoshida H, Mamada Y, Taniai N, et al. Spontaneous ruptured hepatocellular carcinoma. Hepatol Res, 2016, 46(1): 13-21.
5. Hiraoka A, Kawamura T, Aibiki T, et al. Prognosis and therapy for ruptured hepatocellular carcinoma: problems with staging and treatment strategy. Eur J Radiol, 2015, 84(3): 366-371.
6. Kudo M, Chung H, Osaki Y. Prognostic staging system for hepatocellular carcinoma (CLIP score): its value and limitations, and a proposal for a new staging system, the Japan Integrated Staging Score (JIS score). J Gastroenterol, 2003, 38(3): 207-215.
7. Chan WH, Hung CF, Pan KT, et al. Impact of spontaneous tumor rupture on prognosis of patients with T4 hepatocellular carcinoma. J Surg Oncol, 2016, 113(7): 789-795.
8. Moris D, Chakedis J, Sun SH, et al. Management, outcomes, and prognostic factors of ruptured hepatocellular carcinoma: a systematic review. J Surg Oncol, 2017, [Epub ahead of print].
9. Aoki T, Kokudo N, Matsuyama Y, et al. Prognostic impact of spontaneous tumor rupture in patients with hepatocellular carcinoma: an analysis of 1160 cases from a nationwide survey. Ann Surg, 2014, 259(3): 532-542.
10. Rijckborst V, Ter Borg MJ, Tjwa ET, et al. Short article: Management of ruptured hepatocellular carcinoma in a European tertiary care center. Eur J Gastroenterol Hepatol, 2016, 28(8): 963-966.
11. Ou D, Yang H, Zeng Z, et al. Comparison of the prognostic influence of emergency hepatectomy and staged hepatectomy in patients with ruptured hepatocellular carcinoma. Dig Liver Dis, 2016, 48(8): 934-939.
12. Fung AKY, Chong CCN, Lee KF, et al. Outcomes of emergency and interval hepatectomy for ruptured resectable hepatocellular carcinoma: a single tertiary referral centre experience. Hepatoma Res, 2017, 3: 196-204.【该文未查到, 请补充PMID号或文章网址以供核对, 谢谢！】.
13. Zhong F, Cheng XS, He K, et al. Treatment outcomes of spontaneous rupture of hepatocellular carcinoma with hemorrhagic shock: a multicenter study. Springerplus, 2016, 5(1): 1101.
14. Fan WZ, Zhang YQ, Yao W, et al. Is Emergency Transcatheter Hepatic Arterial Embolization Suitable for Spontaneously Ruptured Hepatocellular Carcinoma in Child-Pugh C Cirrhosis? J Vasc Interv Radiol, 2018, 29(3): 404-412.
15. Monroe EJ, Kogut MJ, Ingraham CR, et al. Outcomes of emergent embolisation of ruptured hepatocellular carcinoma in a western population. Clin Radiol, 2015, 70(7): 730-735.
16. Uchiyama H, Minagawa R, Itoh S, et al. Favorable Outcomes of Hepatectomy for Ruptured Hepatocellular Carcinoma: Retrospective Analysis of Primary R0-Hepatectomized Patients. Anticancer Res, 2016, 36(1): 379-385.
17. Chan AC, Dai JW, Chok KS, et al. Prognostic influence of spontaneous tumor rupture on hepatocellular carcinoma after interval hepatectomy. Surgery, 2016, 159(2): 409-417.
18. Zhang DZ, Zhang K, Wang XP, et al. Patients with spontaneously ruptured hepatocellular carcinoma benefit from staged surgical resection after successful transarterial embolization. Asian Pac J Cancer Prev, 2015, 16(1): 315-319.
19. Tanaka S, Kaibori M, Ueno M, et al. Surgical Outcomes for the Ruptured Hepatocellular Carcinoma: Multicenter Analysis with a Case-Controlled Study. J Gastrointest Surg, 2016, 20(12): 2021-2034.
20. Bouliaris K, Christodoulidis G, Symeonidis D, et al. Damage Control Surgery for Hepatocellular Cancer Rupture in an Elderly Patient: Survival and Quality of Life. Case Rep Emerg Med, 2015, 2015: 536029.
21. Tsuchiya M, Otsuka Y, Maeda T, et al. The laparoscopic hepatectomy for ruptured hepatocellular carcinoma controlled after transcatheter arterial embolization. Journal of Microwave Surgery, 2012, 30:151-155. 【该文未查到, 请补充PMID号或文章网址以供核对, 谢谢！】.
22. Lang BH, Poon RT, Fan ST, et al. Influence of laparoscopy on postoperative recurrence and survival in patients with ruptured hepatocellular carcinoma undergoing hepatic resection. Br J Surg, 2004, 91(4): 444-449.
23. Belgaumkar A, Carswell KA, Patel AG. Laparoscopic resection of ruptured liver tumors. J Laparoendosc Adv Surg Tech A, 2009, 19(5): 641-645.
24. Goh BKP, Lee LS, Chow PKH. Early laparoscopic resection of ruptured hepatocellular carcinoma. CRSLS, 2015, 19(1): 1-4.
25. Kawaoka T, Fukada T, Kuwahara T, et al. Laparoscopic left lateral segmentectomy for spontaneously hemostatic ruptured hepatocellular carcinoma: a case report. Yamaguchi Medical Journal, 2013, 62(1):61-66.【该文未查到, 请补充PMID号或文章网址以供核对, 谢谢！】.
26. Xia F, Lau WY, Qian C, et al. Continuous occlusion of hepatic artery proper for prevention of blood loss in partial hepatectomy for ruptured hepatocellular carcinoma: a case-matched comparative study. Ann Surg Oncol, 2011, 18(6): 1638-1643.
27. Gao J, Zhou Y, Zhang Q, et al. Early Laparoscopic Radiofrequency Ablation for Spontaneous Rupture of Hepatocellular Carcinoma. J Laparoendosc Adv Surg Tech A, 2016, 26(7): 560-566.
28. Goh BKP, Chow PKH. Early hand-assisted laparoscopic resection of ruptured hepatocellular carcinoma. CRSLS, 2014, 18(4): 1-4.
29. Zhou S, Zhang E, Liang B, et al. Distilled water lavage during surgery improves long-term outcomes of patients with ruptured hepatocellular carcinoma. Journal of Gastrointestinal Surgery, 2015, 19(7): 1262-1270. 【该文未查到, 请补充PMID号或文章网址以供核对, 谢谢！】.
30. Chang YM, Hsu KF, Yu JC, et al. Distilled water peritoneal lavage in patients with rupture hepatocellular carcinoma. Hepatogastroenterology, 2013, 60(121): 140-143.
31. Zheng SZ, Liu DJ, Sun P, et al. Feasibility and safety of sorafenib treatment in hepatocellular carcinoma patients with spontaneous rupture. World J Gastroenterol, 2014, 20(43): 16275-16281.

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Elective laparoscopic hepatectomy in the treatment of ruptured hepatocellular carcinoma

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