摘要
目的 探讨肝癌合并门脉高压症的手术方法。方法 回顾性分析了 9例肝癌合并显著食管静脉曲张和脾功能亢进病人的治疗情况。结果 本组均采用了肝癌或肝叶部分切除同时行脾切除加贲门周围血管离断术。 2例肝癌复发 ,于术后 13和 16个月死亡。 1例术后 32天死于十二指肠降段巨大溃疡并出血 ,全身衰竭。 6例术后已生存 3、 4、8、 10、 12和 2 5个月。结论 小肝癌同期联合手术同单纯肝癌切除具有相似的良好疗效 。
Objective To study the operative method for hepatic carcinoma with portal hypertension.Methods Retrospectively analyzed the treatments on 9 cases with hepatic carcinoma complicated with marked esophygeal varicose vein and hypersplenism.Results All cases applied cancer ectomy or hepatolobectomy and splenectomy with pericardia vascular amputation were utilized simultaneously. 2 cases occurred cancer recurrence and died 13 and 16 months after the operation respectively. One case died of descending duodenal huge ulcer bleeding and multiple organ failure. 6 cases have lived for3、 4、8、10、12 and 25 months after operation respectively. Conclusion Union operation of small hepatic carcinoma has similar curative effect with simple hepatocarcinoectomy. This operative method is benefit for the liver function. This analysis provides some suggestions to the operative indication.
出处
《肝胆外科杂志》
2000年第5期335-336,共2页
Journal of Hepatobiliary Surgery
关键词
肝细胞癌
门静脉高压
外科手术
联合手术
Hepatocellular carcinoma Portal ypertension Surgical operation
