46 cases of hepatocellular carcinoma with portal vein Surgical treatment of hypertension.docVIP

 PAGE \* MERGEFORMAT 8 46 cases of hepatocellular carcinoma with portal vein Surgical treatment of hypertension [Keywords:] hepatocellular carcinoma, portal hypertension, surgical HCC is one of common malignant tumors in China, of which about 86.5% associated with liver cirrhosis [1], due to poor liver reserve function, often complicated by portal hypertension. Therefore, HCC with portal hypertension is more common clinical practice. In recent years, with improvements in surgical and perioperative treatment progress in the same period, surgical treatment of hepatocellular carcinoma combined with portal hypertension has become a routine surgical procedures. in our hospital from January 1997 to January 2007, 46 cases of liver cancer patients with portal hypertension of liver resection and the implementation period plus splenectomy breaking of pericardial vascular surgery, and achieved good effect, reported as follows. Materials and Methods 1. General Information The group of 46 cases, 35 males and 11 females, aged 27 to 65 years, mean 46 years old. Tumors in 10 cases of hepatic left lateral lobe, left liver lobe in 12 cases, 18 cases of liver right anterior lobe, right hepatic lobe 6 cases. 38 cases of hepatitis B surface antigen positive. child admission liver function classification: A 18 cases of grade, B grade 28 cases. AFP-positive 35 cases. All the patients were single tumors. tumor diameter less than 5 cm 13 cases, 5 ~ 10 cm 27 cases, greater than 10 cm 6 cases. merger or a branch of portal vein thrombosis in 10 cases. All the patients prompt preoperative esophageal endoscopy varices, 21 cases in which moderate and severe 25 cases. There hematemesis and / or a history of tarry stool in 10 cases. All the patients in the surgery free portal pressure measurement greater than 3 kPa. All the patients in the preoperative CT, B ultrasound and laboratory tests confirmed that there are different degrees of splenomegaly Japan hypersplenism, white bloo