Goffrini P, Peracchia A, MPOROSINI S, Roncoroni L, Sgobba G, Violi V
Ateneo Parmense Acta Biomed. 1976 Jul-Aug;47(4):357-77.
The results are set out of emergency or electiver surgery for bleeding oesophageal carices or for intractable ascites in hepatic cirrhosis. The procedure adopted, a meso-caval shunt with prothesis interposition, led to a low percentage of thrombosis, markedly lowered portal pressure, and gave effective clinical results. Although angiography indicated that the portal flow to the liver had dropped considerably, or even ceased altogether, the bad effect on liver function and the incidence of encephalopathy seemed reduced than generally reported after porta-cava shunts. No deaths occurred among the patients for who surgery had been planned, but the rate was still high in emergency cases. This indicates that although well tolerated, the interposition meso-cava shunt is best performed after careful pre-operative selection and preparation.
结果列出了针对食管静脉曲张出血或肝硬化顽固性腹水进行急诊或择期手术的情况。所采用的手术方法是带假体置入的肠系膜上腔静脉分流术，该手术导致血栓形成率较低，门静脉压力显著降低，并取得了有效的临床效果。尽管血管造影显示流向肝脏的门静脉血流大幅下降，甚至完全停止，但对肝功能的不良影响和肝性脑病的发生率似乎比一般报道的门腔分流术后有所降低。计划进行手术的患者中没有死亡病例，但急诊病例的死亡率仍然很高。这表明，尽管耐受性良好，但肠系膜上腔静脉分流术最好在仔细的术前选择和准备后进行。
