Leger L, Lenriot J P, Duclos J M, Lemaigre G
J Chir (Paris). 1975 Apr;109(4):429-50.
The authors report a comparative retrospective study of 124 end-to-side portal anastomoses and 63 side-to-side anastomoses. The influence of a certain number of clinical and pathological factors on mortality and immediate and long-term survival, were statistically verified. The quality of the functional result result was analysed in each group of operated patients. Comparison of the results of trunkular anastomoses with or without interruption of the portal vein, showed both as regards, post-operative and late mortality, that the functional results were definitely in favor of end-to-side anastomosis. Thus side-to-side anastomoses gave 40,4 p. 100 of good results and 59,6 average or poor results, as against 60 p. 100 gave rise to portal systemic encephalopathy in 17 p. 100 of cases as against 35 p. 100 in the case of the side-to-side anastomosis. Only the sub-group of operated patients with hepatic vein thrombosis seemed to benefit from side-to-side anastomosis.
作者报告了一项对124例端侧门静脉吻合术和63例侧侧吻合术的比较性回顾性研究。对一定数量的临床和病理因素对死亡率以及近期和长期生存率的影响进行了统计学验证。对每组手术患者的功能结果质量进行了分析。对门静脉中断或未中断的主干吻合术结果进行比较，结果显示，无论是术后死亡率还是晚期死亡率，功能结果都明显有利于端侧吻合术。因此，侧侧吻合术有40.4%的患者效果良好，59.6%的患者效果一般或较差，而端侧吻合术有60%的患者效果良好，17%的患者发生门体性脑病，侧侧吻合术的这一比例为35%。只有肝静脉血栓形成的手术患者亚组似乎从侧侧吻合术中获益。
