Abstract:
Objective To explore spleen autotransplantation with lower esophagus transection whether aggravating hepatic fibrosis by MR checking.
Methods Forty patients with liver cirrhosis complicated with portal hypertension were randomly divided into two groups: study group(20 cases), patients in which underwent sple nectomy with retroperitoneal splenic autotransplantation and cardia-esophageal devascularization, and control group(20 cases), only with splenectomy and cardia-esophageal devascularization operation. The hepatic volume and signals of liver surface and parenchyma were respectively evaluated by MR at one week before operation and six months after operation.
Results In two groups, the preoperative hepatic volume of study group was (1054.06±289.66) cm3, which was no different with that of control group (1108.72±253.84) cm3. The postoperative volume of study group was (1063.74±193.13) cm3, which was no different with that of control group (1092.25±206.44) cm3. In two groups, 3D DCE MR imaging showed that the perioperative hepatic surface signals were no different statistically with that of postoperation, and no progression of hepatic fibrosis was found, while in study group postoperative cirrhotic nodus images were improved(P <0.05).
Conclusion The results of the hepatic volume and signals suggest that the preserved spleen won't encourage progress of hepatic fibrosis.
Key words:
Magnetic resonance,
Autotransplant,
Hypertension, portal,
Liver cirrhosis,
Hepatic volume
Jing-shan SHUO, Ji-sheng CHEN, Zhuo WU, Ru-fu CHEN, Zhi-hao ZHUANG, Qing-jia OU. Morphologic changes of liver in patients with portal hypertension performed splenic autotransplantation with lower esophagus transection by MR assessment[J]. Chinese Archives of General Surgery(Electronic Edition), 2010, 04(01): 36-39.