Surgical management of liver carcinoma accompanied by portal hypertension:report of 26 cases
- VernacularTitle:原发性肝癌合并门静脉高压的外科处理(附26例报告)
- Author:
Yinlu DING
;
Zhipeng JI
;
Yong ZHOU
;
Qinye FU
;
Wenying JIANG
;
Peng ZHANG
- Publication Type:Journal Article
- Keywords:
Liver neoplasms?Portal hypertension
- From:
Chinese Journal of Current Advances in General Surgery
2009;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Obiective:To evaluate the effects of various surgical procedures on liver carcinoma accompanied by portal hypertension.Methods:Combined surgical procedures which were performed in 26 patients with liver carcinoma accompanied by portal hypertension in our department between Aug,2002 and Aug,2008 were analysed retrospectively.Results:There was no operative mortality.The postoperative complications developed in 50%(13/26) patients.The postoperative survival rates of 1,2 and 3 years were 84.6%(22/26),57.7%(15/26),34.6%(9/26),respectively.Postoperative upper digestive tract hemorrhage developed in 10 cases.Fifteen patients died during follow-up period,of whom 7 cases died of recurrence of liver carcinoma,2 cases died of liver failure,6 cases died of upper digestive tract hemorrhage.Conclusion:The survival time can be prolonged and the postoperative complications can be reduced through perioperative cares and prudent selection of surgical procedures in patients suffering from concurrent liver cancer and portal hypertension.Combined operation is safe and feasible.
