间置式肠系膜上静脉-腔静脉分流术
The interposition mesocaval shunt.
作者信息
Lillemoe K D, Cameron J L
机构信息
Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
出版信息
Surg Clin North Am. 1990 Apr;70(2):379-94. doi: 10.1016/s0039-6109(16)45087-5.
The interposition mesocaval C-shunt is an excellent alternative for the management of bleeding esophageal varices. The comparable operative mortality, long-term survival, and minimal operative time and blood loss make it the emergency shunt of choice. The C-shunt modification has improved long-term patency and ease of operation. The interposition mesocaval shunt also is increasing in importance as the best portosystemic shunt in those patients who may eventually require liver transplantation.
间置式肠系膜上静脉-腔静脉C型分流术是治疗食管静脉曲张出血的一种极佳选择。其手术死亡率相当、长期生存率高、手术时间短且失血量少，使其成为首选的急诊分流术。C型分流术的改良提高了长期通畅率并简化了手术操作。对于那些最终可能需要肝移植的患者，间置式肠系膜上静脉-腔静脉分流术作为最佳的门体分流术，其重要性也日益增加。
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