Timely staged hepatectomy following transarterial embolization versus emergency hepatectomy for spontaneous hepatocellular carcinoma rupture.

ABSTRACT:

Objective

To evaluate the efficacy and safety of timely staged hepatectomy (SH) following transarterial embolization (TAE) versus emergency hepatectomy (EH) for spontaneous rupture of hepatocellular carcinoma (SR-HCC).

Methods

Between January 2018 and December 2023, 109 patients with SR-HCC were admitted to our center receive SH (34 cases) or EH (75 cases). Performing 1:1 optimal matching propensity score matching (PSM) analysis, resulting in 34 patients in SH group and 34 patients in EH group. We compared perioperative data, peritoneal metastasis rates, recurrence rates, complication rates, and long-term survival outcome between the two matched groups.

Results

After PSM, baseline characteristics were well balanced between the SH and EH groups (standardized mean diffe

SUBMITTER: Liu S 

PROVIDER: S-EPMC12540030 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature