JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2013, Vol. 51 ›› Issue (1): 64-66.

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Relevant factors of postoperative complications for hepatectomy combined with splenectomy

HU Liang， YI Yong-xiang， DING Hai， HAN Jian-bo, LIU Tao, ZHAO Liang   

  1. Department of General Surgery， Second Hospital Affiliated to Southeast University， Nanjing  210003， China
  • Received:2012-06-21 Online:2013-01-10 Published:2013-01-10

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Abstract:

Objective   To analyze the relevant factors of postoperative complications for hepatectomy combined with splenectomy. Methods   68 patients with hepatocelluar carcinoma and portal hypertension who underwent hepatectomy and splenectomy were reviewed. The relevant factors of postoperative complications were analyzed.  Results   The postoperative complication rate was 32.4%（22/68）. The main complications consisted of the splenic recess  and pleural effusion, infection of the effusion, bile leakage and so on. There was no relevance between the postoperative complication rate and the age, sex, serum AFP, HBV-DNA quantity and tumor location（P>0.05）. The postoperative complication rate was positively correlated to the tumor size, Child-pugh classification and severe degree of liver cirrhosis（P<0.05）. Conclusion   It can reduce complications after hepatectomy combined with splenectomy by perioperative management to improve liver function and liver functional reserve.

Key words: Hepatocelluar carcinoma; Hepatectomy ;Splenectomy; Postoperative complications

CLC Number: 

  • R735.7
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