Perioperative nursing of patients with hepatocellular carcinoma combined with portal vein tumor thrombus after hemi-hepatectomy and removal of portal vein tumor thrombus
10.3969/j.issn.1671-8283.2014.08.013
- VernacularTitle:肝癌合并门静脉癌栓行半肝切除加取癌栓术的围手术期护理
- Author:
Pingshun LIN
;
Xiaohuang WU
;
Zhiying ZHU
- Publication Type:Journal Article
- Keywords:
hepatocellular carcinoma;
portal vein tumor thrombus;
nursing
- From:
Modern Clinical Nursing
2014;(8):44-46,47
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the perioperative nursing after hemi-hepatectomy and removal of portal vein tumor thrombus(PVTT)for hepatocellular carcinoma(HCC)with PVTT.Methods Fifty-seven HCC patients with PVTT underwent hemi-hepatectomy and removal of PVTT.Careful perioperative nursing was given to each patient.Results All patients successfully lived through surgery.Postoperative complications included 12 cases pleural effusion(21.1%),2 cases refractory ascites(3.5%)and 1 case perioperative death(1.8%).Conclusion Preoperative psychological care,improvement of nutrition and liver function,prevention of upper gastrointestinal bleeding and postoperative observation plus nursing care were of great importance to ensure the success of the surgery.
