实用肝脏病杂志Issue(5)：439-441,3.DOI:10.3969/j.issn.1672-5069.2013.05.018
肝硬化门脉高压症合并贲门癌患者的手术治疗
Surgical strategie s in liver cirrhotic patients with carcinoma of gastric cardia
李向阳 1丁友宏 1邱亮 1严士光 1闫坤1
作者信息
- 1. 223001 江苏省淮安市 解放军第82医院肿瘤外科
- 折叠
摘要
Abstract
Objective To investigate the surgical strategies in liver cirrhotic patients with carcinoma of gastric cardia. Methods A retrospective analysis was studied in 24 cirrhotic portal hypertension patients with cardia cancer and the surgical procedure and perioperative management were compared with 30 patients with car-dia cancer. Results The serum ALT levels were higher,and the serum ALB levels were lower,in cirrhotic pa-tients before surgery than in patients without cirrhosis;the serum ALT,ALB and TBIL levels in cirrhotic patients one week after surgery were 88.8±22.5u/L,29.3±4.8g/L and 31.2±13.4μol/L,while they were 29.1±6.1u/L,33.6±3.7u/L and 14.6±4.6μol/L (P<0.05)in patients without cirrhosis;the radical resection of tumor,amounts of bleeding,hos-pitalization days,costs and patients’ satisfaction in cirrhotic patients were 79.2%,656±567ml,21.1±5.4 days, 31100±9108 yuan and 83.3%,while they were 93.3%,298±156 ml(P<0.05),13.9±1.4 days(P<0.05),26000±9870 yuan (P<0.05)and 70.0%. Conclusion The surgical treatment of cirrhotic patients with portal hypertension and carcinoma of gastric cardia requires strict perioperative management and optimization of surgical operation.关键词
肝硬化/贲门癌/门脉高压症/手术Key words
Cirrhosis/Portal hypertension/Carcinoma of gastric cardia/Surgery引用本文复制引用
李向阳,丁友宏,邱亮,严士光,闫坤..肝硬化门脉高压症合并贲门癌患者的手术治疗[J].实用肝脏病杂志,2013,(5):439-441,3.
