Surgical management of left upper abdominal malignant tumors complicating regional portal hypertension
10.3760/cma.j.issn.1007-631X.2011.03.015
- VernacularTitle:伴区域性门静脉高压的左上腹恶性肿瘤的手术治疗
- Author:
Jiqi YAN
;
Jiazeng DING
;
Weiping YANG
;
Di MA
;
Yongjun CHEN
;
Jie KUANG
;
Chenghong PENG
;
Hongwei LI
- Publication Type:Journal Article
- Keywords:
Hypertension,portal;
Neoplasms;
Digestive system surgical procedures
- From:
Chinese Journal of General Surgery
2011;26(3):216-218
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the etiology, clinical characteristics, diagnosis and treatment of regional portal hypertension caused by left upper abdominal malignant tumors.MethodsFrom January 2006 to December 2009, a total of 8 patients presenting regional portal hypertension were treated at our hospital, whose clinical data were analyzed retrospectively. ResultsPancreatic tumors (5/8) and retroperitoneal tumors(3/8)were the primary etiology,andthe main symptoms included upper gastrointestinal bleeding and irregular left upper abdominal pain.Isolated gastric varices were the most distinct clinical features. All patients underwent multi-visceral resection including pancreatic body and tail and spleen. Tumor involved stomach, left kidney, left adrenal and splenic flexure of colon were also removed en bloc. During the follow-up period there was no recurrent upper gastrointestinal bleeding, one patient died and two patients developed metastasis or tumor local recurrence.ConclusionRegional portal hypertension caused by malignant tumor was relatively rare,aggressive resection of multi-viscera combined with devascularization was an effective therapy.
