Emergency transarterial embolization followed by staged hepatectomy versus emergency hepatectomy for ruptured hepatocell
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ORIGINAL ARTICLE
Emergency transarterial embolization followed by staged hepatectomy versus emergency hepatectomy for ruptured hepatocellular carcinoma: a single‑center, propensity score matched analysis Chun Zhou1 · Chu Zhang1 · Qing‑Quan Zu1 · Bin Wang1 · Chun‑Gao Zhou1 · Hai‑Bin Shi1 · Sheng Liu1 Received: 16 February 2020 / Accepted: 14 June 2020 © Japan Radiological Society 2020
Abstract Purpose To compare the feasibility and efficacy of emergency transarterial embolization (TAE) followed by staged hepatectomy (SH) with emergency hepatectomy (EH) for ruptured hepatocellular carcinoma (HCC). Methods Between January 2012 and December 2017, 102 patients with HCC rupture received EH or emergency TAE followed by SH in our center. Patients were followed until April 2019. Propensity score matching (PSM) analysis was used at a 1:2 ratio, resulting in 20 patients in the SH group and 40 patients in the EH group. We retrospectively compared the operative variables, recurrence status, disease-free survival (DFS), and overall survival (OS) of patients between the two matched groups. Results Compared with the matched EH group, the SH group showed significantly decreased perioperative blood loss or blood transfusion, shortened intraoperative duration of clamping and postoperative hospital stay (P
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