The Impact of Concomitant Splenectomy on the Portal Pressure in Patients with Liver Cirrhosis
Korean Journal of Hepato-Biliary-Pancreatic Surgery
;
: 156-161, 2008.
Article
Dans Coréen
| WPRIM
| ID: wpr-219558
ABSTRACT
PURPOSE:
Concomitant splenectomy in cirrhotic patients is known to ameliorate the tendency to bleed and it decreases the portal venous pressure (PVP). However, the direct measurement of the change in the PVP after concomitant splenectomy has not yet been reported. We tried to measure the change of the PVP before and after splenectomy.METHODS:
From March 2000 to May 2006, 18 patients underwent anatomical liver resection with concomitant splenectomy. All the patients had liver cirrhosis, thrombocytopenia and/or esophageal varix. Through the 5 French feeding tube, which was inserted into the right gastroepiploic vein after laparotomy, we directly measured the PVP before and after splenectomy, and also under portal triad clamping (PTC).RESULTS:
After splenectomy, the PVP decreased significantly from 261.11+/-45.87 mmH2O to 221.11+/-38.48 mmH2O (p<0.05). Under PTC, the PVP decreased significantly from 605.00+/-116.48 mmH2O to 513.89+/-70.56 mmH2O (p<0.05).CONCLUSION:
Concomitant splenectomy in patients with liver cirrhosis resulted in a significant reduction of the PVP.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Splénectomie
/
Thrombopénie
/
Veines
/
Facteur IX
/
Varices oesophagiennes et gastriques
/
Pression portale
/
Constriction
/
Laparotomie
/
Foie
/
Cirrhose du foie
Limites du sujet:
Humains
langue:
Coréen
Texte intégral:
Korean Journal of Hepato-Biliary-Pancreatic Surgery
Année:
2008
Type:
Article
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