The clinical observationon anatomical hepatic resection combined with splenectomy in patients with primary hepatocellular carcinoma, portal hypertension and hypersplenism
Objective To study the clinical effect of anatomical hepatic resection combined with splenectomy surgery in patients with primary hepatocellular carcinoma, portal hypertension and hypersplenism. Methods 80 cases with primary hepatocellular carcinoma、portal hypertension and hypersplenism were observed and divided into two groups. The control group(40 cases) were treated by traditional hepatic resection and splenectomy, the observation group(40 cases) were treated by anatomical hepatic resection combined with splenectomy. Results All procedures were completed successfully in two groups. The intraoperative blood loss and transfusion volume in the observation group were less than in the control group. The hypersplenism were improved in two groups. The survival rate and life quality in the observation group were higher than in the control group. Conclusion The surgery treatment of anatomical hepatic resection combined with splenectomy can increase the clinical efficiency, improve the survival rate and life quality in patients with hepatocellular carcinoma, portal hypertension and hypersplenism.