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Simultaneous operative treatment of patients with Primary liver cancer associated with portal hyper tension |
Hong Li, Yi-Li Hu, Yi Wang, Dong-Sheng Zhang and Feng-Xing Jiang |
From the Department of Hepatobiliary Surgery, Qingdao Municipal Hospital, Qingdao 266011, China (Li H, Hu YL, Wang Y, Zhang DS and Jiang FX)
Correspondence: Hong Li, MD( Tel: 86-532-2807880ext5401; Email: mengxy@public.qd.sd.cn) |
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Abstract Objective: To explore the operative procedure for patients with Primary liver cancer associated with portal hyper tension (PLCPH).
Methods: We analyzed retrospectively the effect of operative procedure for 9 patients with PLCPH complicated by severe esophageal varicosity and hypersplenism.
Results: All patients underwent liver resection and pericardiac devascularization with splenectomy. Of the 9 patients, 2 died from liver cancer recurrence separately 13 and 16 months after operation, and 1 died from massive duodenal ulcer bleeding and multiple organs failure. Six patients survived 3, 4, 8, 10, 12 and 25 months after operation.
Conclusions: The patients with PLCPH undergoing simultaneous operation could acquire curative effect as compared with those who underwent liver resection. This operation is beneficial to the patients with poor liver function.
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