کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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4282679 | 1611763 | 2012 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Recent role of Hassab's operation for cirrhotic patients: Combination with endoscopic procedure for varices Recent role of Hassab's operation for cirrhotic patients: Combination with endoscopic procedure for varices](/preview/png/4282679.png)
SummaryBackground/ObjectiveRecently, endoscopic and radiological procedures for various symptoms related to cirrhosis have improved. Thus, the role of Hassab's operation (gastroesophageal decongestion and splenectomy) has changed for cirrhotic patients.MethodsHassab's operation was performed on patients who had gastroesophageal varices that were difficult to control with balloon occluded retrograde transvenous obliteration or an endoscopic procedure, or had hypersplenism. Thirteen consecutive patients underwent this operation, and the outcomes of all patients were reviewed retrospectively.ResultsThere was no operative morbidity or rebleeding varices. In the preoperative endoscopic injection sclerotherapy treated group (n = 6), only one patient (16.7%) developed recurrent varices. Mean platelet counts were significantly higher 6 months after surgery (201 ± 65 × 103/mm3) than preoperatively (64 ± 54 × 103/mm3). In patients with hepatocellular carcinoma, percutaneous therapies, such as radio frequency ablation, were safely performed with adequate therapeutic effect. Interferon therapy was given to patients with hepatitis C virus (HCV)-related cirrhosis without interruption.ConclusionHassab's operation is a satisfactory approach to controlling varices, especially when combined with preoperative endoscopic treatment. Platelet counts were significantly higher after surgery. This therapy was important for cirrhotic patients contraindicated for liver transplantation in that they could continue their therapy for hepatocellular carcinoma (HCC) and HCV as needed.
Journal: Asian Journal of Surgery - Volume 35, Issue 2, April 2012, Pages 57–61