ABSTRACT
Objective To explore the clinical characteristics,diagnosis and treatment of pancreatic reginal(portal) hypertension(PSPH).Methods The clinical data of 11 cases of PSPH were analysed and(summarized).Results All of the patients in this group underwent surgical operation.Postoperative(complications) occurred in 4 patients,all of whom recovered with conservative treatment.There was no(operative) mortality.Seven cases were followed up after operation;one patient died from cancer of the pancreas three years after operation;in other six cases,no massive digestive tract re-bleeding occurred,and symptoms of hypersplenism disappeared completely.Conclusions PSPH is a special type of portal hypertension,surgical treatment can get excellent results.
ABSTRACT
Objective To summarize the causes of abdominal pain in the early postoperative period after laparoscopic cholecystectomy(LC), so as to employ preventative measures. Methods The clinical data of 35 patients with early postoperative abdomial pain after LC were analyzed retrospectively and the literature was reviewed . Nine cases underwent reoperation, and conservative treatment was successfully performed in the other 26 cases. Results Traumatic factors were involved in 8 cases, including 6 cases of postoperative biliary fistula , and 2 cases with calculus retained in the trocar hole of the abdominal wall. 27 cases had no traumatic factor and included 2 cases of ascariasis of common bile duct, 5 cases with calculus of common bile duct, 1 case of acute pancreatitis, 17 cases of bile duct dysfunction, 1 case of duodenal ulcer and 1 case of stomach cancer. All were cured. Conclusions The key to decrease complications after LC is a complete examination before LC and pay attention to each aspect of perioperative management.