Surgical management of gastric cancer with liver cirrhosis and portal hypertension

VernacularTitle:胃癌合并肝硬化门静脉高压症的治疗
Author: Weiguo GAO ; Changyong ZHAO ; Jihong LU ; Jie ZHANG ; Weidong SUN
Publication Type:Journal Article
Keywords: Stomach neoplasms; Hypertension,portal; Liver cirrhosis; Gastrectomy
From: Chinese Journal of General Surgery 2010;25(9):713-716
CountryChina
Language:Chinese
Abstract: Objective To review the experience in the management of gastric cancer with liver cirrhosis and portal hypertension.Method A retrospective analysis was made in 35 gastric cancer cases with liver cirrhosis and portal hypertension admitted into our hospital from January 2000 through June 2009.Result There were no intraoperative death in this group.Postoperative ascites occurred in 19 patients,anastomotic leakage in one case,anastomotic bleeding in 2 cases,wound bleeding in 2 cases,intraabdominal infection in 17 cases (of which combined fungal infection in 4 patients),incision infection in one patient and chylous leakage in one case.The morbidity rate was 71%.Four patients died during hospitalization including multiple organ dysfunction syndrome in 2 cases,with mortality rate of 11%. Conclusion In order to reduce the incidence of mortality and complications,we should complete preoperative evaluation,correct perioperative management,guide surgery with damage control concept,follow individualized principles and emphasize on preventive devascularization.