Le Rolland B, Kahwaji F, Smadja C, Traynor O, Grange D, Franco D
Int Surg. 1987 Apr-Jun;72(2):93-5.
Two cirrhotic patients with a LeVeen shunt presented with a large bowel cancer. In one patient, the shunt was removed and the venous catheter was ligated prior to the performance of a colon resection. The postoperative course was uneventful. A new valve was inserted and connected to the venous catheter two months later. The second patient had a carcinoma of the rectum. In order to prevent ascites and to ease the colorectal resection he had preliminary construction of a portacaval shunt. Six weeks later, he underwent an anterior resection of the rectum. The postoperative course was uneventful except for a self limiting episode of febrile subacute intestinal obstruction. These two cases demonstrate that it is possible to resect colorectal cancer in patients with cirrhosis, ascites and a peritoneovenous shunt provided measures are taken to avoid specific complications due to the presence of the shunt, ascites or portal hypertension.
两名患有LeVeen分流术的肝硬化患者出现了大肠癌。其中一名患者在进行结肠切除术前，先移除了分流装置并结扎了静脉导管。术后过程顺利。两个月后插入了一个新瓣膜并连接到静脉导管。第二名患者患有直肠癌。为了预防腹水并便于进行结直肠切除，他预先进行了门腔分流术。六周后，他接受了直肠前切除术。术后过程顺利，只是出现了一次自限性的发热性亚急性肠梗阻。这两个病例表明，对于患有肝硬化、腹水和腹膜静脉分流术的患者，如果采取措施避免因分流术、腹水或门静脉高压的存在而导致的特定并发症，那么切除结直肠癌是可行的。
