Additional Hassab's operation for esophagogastric varices in cirrhotic patients with resectable hepatocellular carcinoma.
Hepatogastroenterology
; 55(86-87): 1686-90, 2008.
Article
em En
| MEDLINE
| ID: mdl-19102370
ABSTRACT
BACKGROUND/AIMS:
The aim of this study was to clarify the role of the additional Hassab's operation to hepatectomy in cirrhotic patients with resectable hepatocellular carcinomas and esophagogastric varices.METHODOLOGY:
Subjects were 36 cirrhotic patients with hepatocellular carcinomas and concomitant esophagogastric varices 20 underwent hepatectomy alone (non-Hassab group) and 16 underwent hepatectomy with Hassab's operation (Hassab group).RESULTS:
Patients in the Hassab group had more advanced esophageal varices and the accompanied gastric varices, preoperatively (p<0.01). Both preoperative platelet counts (p<0.01) and prothrombin time (p<0.05) were significantly lower in the Hassab group, and serum albumin level also tended to be worse than those in the non-Hassab group. Portal pressure was significantly higher in the Hassab group (p<0.01). Despite these disadvantages, no significant differences were found in operative mortality, postoperative courses and long-term prognosis between the two groups. Comparing the cause of death, the incidence of the fatal variceal hemorrhage was significantly lower (0%) in the Hassab group than that (25%) in the non-Hassab group (p<0.05).CONCLUSIONS:
This study suggested that additional Hassab's operation to hepatectomy might have reduced the risk of variceal hemorrhage after hepatectomy.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Esplenectomia
/
Varizes Esofágicas e Gástricas
/
Carcinoma Hepatocelular
/
Hepatectomia
/
Cirrose Hepática
/
Neoplasias Hepáticas
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article