Simultaneous operative treatment of patients with primary liver cancer associated with portal hypertension.
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.
Li
Hong
H
Department of Hepatobiliary Surgery, Qingdao Municipal Hospital, Qingdao 266011, China. mengxy@public.qd.sd.cn
Hu
Yi-Li
YL
Wang
Yi
Y
Zhang
Dong-Sheng
DS
Jiang
Feng-Xing
FX
D000328:Adult; D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000150:complications* / Q000401:mortality / Q000601:surgery*; D002423:Cause of Death; D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000401:mortality; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology* / Q000401:mortality; D008113:Liver Neoplasms / Q000150:complications* / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000401:mortality; D012189:Retrospective Studies; D016896:Treatment Outcome