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- Title
联合肠系膜上 / 门静脉汇合部胰十二指肠切除术后 左侧门静脉高压症的研究现状.
- Authors
邹洪; 朱桥; 文艺; 梁鸿寅; 周明梅; 石珂辉; 吴俊; 汤礼军
- Abstract
Surgical operation is the main treatment method for pancreatic cancer, and in clinical practice, radical surgery for pancreatic cancer is often combined with superior mesenteric-portal vein confluence pancreaticoduodenectomy to achieve R0 resection. However, severe left-sided portal hypertension(LSPH) may occur after splenic vein dissection, resulting in a series of pathological changes such as congestive splenomegaly, thrombocytopenia, backflow obstruction of splenic vein, and gastrointestinal varices, and in some cases, it can lead to fatal gastrointestinal hemorrhage and hemorrhagic shock. Therefore, in order to better manage LSPH in clinical practice, this article systematically analyzes and reviews the pathogenesis, treatment regimens, and control strategies of LSPH after combined superior mesenteric-portal vein confluence pancreaticoduodenectomy and put forward corresponding suggestions based on current studies.
- Publication
Journal of Clinical Hepatology / Linchuang Gandanbing Zazhi, 2023, Vol 39, Issue 6, p1482
- ISSN
1001-5256
- Publication type
Article
- DOI
10.3969/j.issn.1001-5256.2023.06.035