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  • Title: Radiofrequency ablation as a salvage procedure for ruptured hepatocellular carcinoma.
    Author: Ng KK, Lam CM, Poon RT, Law WL, Seto CL, Fan ST.
    Journal: Hepatogastroenterology; 2003; 50(53):1641-3. PubMed ID: 14571805.
    Abstract:
    Spontaneous rupture of hepatocellular carcinoma is a distinct presentation causing acute abdomen. Different treatment approaches have been advocated including emergency hepatectomy, initial hemostasis by hepatic artery ligation or transarterial embolization and second-stage hepatectomy. Unrecognized ruptured hepatocellular carcinoma during laparotomy is often encountered in countries where the incidence of hepatocellular carcinoma is low. Radiofrequency ablation is a new localized thermal ablative technique for the treatment of unresectable hepatic tumors including hepatocellular carcinoma. We report a case where radiofrequency ablation was used as a salvage procedure for ruptured hepatocellular carcinoma during emergency laparotomy.
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