Karavias T, Weber D, Hopfenmüller W, Häring R
Chirurgische Klinik, Klinikum Steglitz, Berlin.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:391-6.
After portocaval anastomosis 149 cirrhotic patients were treated on an outpatient basis. Liver insufficiency was observed in 24%. Encephalopathy was chronic in 14% and episodic in 11%. The most common postoperative complication was edema of the ankle (48%). Further operations bore a minimal risk (mortality 3/22). Sixty-eight percent of the patients agreed to abstain from alcohol; 85% took vacation trips and 95% were satisfied with the operation.
149例肝硬化患者接受门腔静脉吻合术后进行门诊治疗。观察到24%的患者出现肝功能不全。14%的患者患有慢性脑病,11%的患者患有发作性脑病。最常见的术后并发症是踝关节水肿(48%)。再次手术的风险极小(死亡率为3/22)。68%的患者同意戒酒;85%的患者进行了度假旅行,95%的患者对手术满意。