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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 ,该术式对维护肝脏功能有利
Objective To explore the surgical method of liver cancer combined with portal hypertension. Methods The retrospective analysis of the treatment of 9 cases of liver cancer with significant esophageal varices and hypersplenism. The results of this group were used in liver or liver lobe partial resection at the same time splenectomy plus cardiopulmonary bypass surgery. Two cases of liver cancer recurred and died 13 and 16 months after surgery. One patient died of massive duodenal ulceration and hemorrhage at 32 days after surgery, resulting in systemic failure. Six patients had survived 3, 4, 8, 10, 12 and 25 months after operation. Conclusions The small hepatocellular carcinoma combined with the same period of surgery has a similar good effect with the resection of hepatocellular carcinoma. This method is beneficial to the maintenance of liver function.