Clinical analysis of hepatectomy in combination with portal azygous disconnection for primary hepatocellular carcinoma complicated with severe portal hypertension

VernacularTitle:肝癌切除联合断流术治疗原发性肝癌合并重度门静脉高压症临床分析
Author: Wei ZHAO ; Yifan LI ; Yi ZHANG ; Liying ZHOU ; Wenjun FENG
Publication Type:Journal Article
Keywords: Carcinoma hepatocellular; Portal hypertension; Hepatectomy; Portal azygous disconnection
From: Chinese Journal of Hepatobiliary Surgery 2010;16(12):903-905
CountryChina
Language:Chinese
Abstract: Objective To evaluate the safety and efficacy of hepatectomy in combination with portal azygous disconnection for primary hepatocellular carcinoma (HCC) complicated with severe portal hypertension (PHT). Methods Clinical data of 30 cases of HCC complicated with PHT treated in our hospital from April 2005 to April 2008 were retrospectively analyzed. All 30 cases were randomly divided into the single operation group (group Ⅰ ) and combined group (group Ⅱ ). Results After operation, there were no significant statistical differences in rates of complications such as hepatic encephalopathy, ascites, stress ulcer, etc. and recovery of liver function between the 2 groups. The WBC and PLT counts in the blood samples of group Ⅱ were higher than those in group Ⅰ after operation. The postoperative 1- and 2-year hemorrhagic rates were lower in group Ⅱ than in group Ⅰ .Conclusion Hepatectomy in combination with portal azygous disconnection is safe and feasible for treatment of HCC complicated with PHT.