Smith R B, Warren W D
Annu Rev Med. 1975;26:229-34. doi: 10.1146/annurev.me.26.020175.001305.
The selective distal splenorenal shunt has been shown to be equally as effective as total portal-systemic shunting procedures in the control of variceal hemorrhage and it can now be performed with an equivalent operative mortality. It is superior to other shunts in metabolic aspects and results in a markedly decreased incidence of postoperative hepatic encephalopathy. Massive ascites constitutes a definite contraindication to the selective distal splenorenal anastomosis, but for all other suitable patients this procedure appears to be the optimal method of surgical management at this time.
选择性远端脾肾分流术已被证明在控制静脉曲张出血方面与全门体分流术同样有效，且目前可在相同的手术死亡率下进行。在代谢方面，它优于其他分流术，术后肝性脑病的发生率明显降低。大量腹水是选择性远端脾肾吻合术的明确禁忌证，但对于所有其他合适的患者，此时该手术似乎是最佳的手术治疗方法。
