肝细胞癌
医学
并发症
切除术
外科
多学科方法
普通外科
肝切除术
内科学
社会科学
社会学
作者
Maria Conticchio,Antonella Delvecchio,Valentina Ferraro,Matteo Stasi,Annachiara Casella,Nicola Chetta,E. De Marinis,Andrea Madaro,Margherita Raele,Rosalinda Filippo,Michele Ammendola,Michèle Tedeschi,Nicola de’Angelis,Riccardo Méméo
摘要
The spontaneous rupture of hepatocellular carcinoma (HCC) is a rare complication. The management of this complication needs a stepwise, multidisciplinary approach which considers first of all clinical conditions of the patient and also the possibility of the best curative treatment.We report our experience of an emergency robotic liver resection for a ruptured HCC in an elderly patient. Minimally invasive liver resection is currently recognised as a safe and feasible approach to the treatment of HCC in elderly patients.Our patient presented haemodynamic stability, which allows us to perform a robotic resection of segment 3. To our knowledge, this is the first report of the application of a robotic platform in an emergency setting for liver resection.Rupture of HCC is an uncommon complication, burdened by a high rate of mortality. Its management still remains controversial. Treatment should be individualised taking into consideration the clinical status of the patient, tumour features and possibility of centre therapeutic strategy.
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