肝脾联合切除治疗肝癌伴门脉高压脾亢(附15例报告)

Allied resection of liver and spleen for liver cancer patients with portal hypertension and hypersplenism(15 cases report)

目的:探讨肝癌合并门脉高压脾亢患者外科治疗的方法。方法:回顾分析肝脾联合切除或加贲门血管离断术治疗肝癌合并门脉高压脾亢患者15例。结果:全组无手术死亡,术后并发腹水、低钠血症、上消化道出血、腹腔内出血等症状在出院时消退。结论:肝癌合并门脉高压脾亢行肝脾联合切除是安全可行的。

Objective：To investigate the methods of surgical treatment for liver cancer patients with portal hypertension and hypersplenism. Methods ： 15 cases of liver cancer with portal hypertension and hypersplenism received allied resection of liver and spleen or plus percicardiac devasculation procedure from 2000 to 2005 were analysed retrospectively. Result：There was no mortality postoperatively. The postoperative complications, which included ascites, hyponatremia, upper alimentary tract bleeding, intraperitoneal hemorrhage and so on, were eliminated when the patients left our hospital. Conclusion： Allied resection of liver and spleen is safe and feasible for liver cancer patients with portal hypertension and hypersplenism.