Life-saving therapy for haemorrhaging liver adenomas using selective arterial embolization
作者： J. H. M. B. Stoot , E. van der Linden , O. T. Terpstra , A. F. M. Schaapherder
DOI: 10.1002/BJS.5779
关键词:
摘要: Background: Emergency treatment for patients with a ruptured hepatocellular adenoma is controversial. The aim of this study was to evaluate management selective arterial embolization. Methods: The included 11 consecutive treated adenomas between 2001 and 2006. After initial haemodynamic support, all received embolization branches the hepatic artery. primary outcome effectiveness in stopping bleeding. Secondary outcomes were complications changes tumour size after embolization. Results: A single brought haemorrhaging under control ten patients; one patient needed three embolizations. None required emergency surgery. In follow-up 19 (range 7–49) months, no general or hepatobiliary observed. All 25 adenomas, including those without signs same liver lobe, either smaller not detectable on computed tomography magnetic resonance imaging embolization, median diameter decreasing from 7·0 2·5 cm (P < 0·001). Conclusion: Selective artery safe adequate first approach adenomas. Furthermore, reduces liver. Copyright © 2007 British Journal Surgery Society Ltd. Published by John Wiley & Sons,
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