Levy P J, Krausz M M, Manny J
Department of Surgery, Hadassah University Hospital, Jerusalem, Israel.
Surg Gynecol Obstet. 1990 Apr;170(4):287-91.
Since 1978, 21 patients (12 men and nine women) suffering from mesenteric venous thrombosis (MVT) were treated at the Hadassah University Medical Center. The cause of MVT was multifactorial, and in only six patients was the process defined as primary or idiopathic. A preoperative diagnosis of MVT was made in eight patients. Surgical management of the individual patient was based on the extent of the ischemic process, the viability of infarcted intestine and the general condition of the patient. Nineteen patients were operated upon. Exploratory laparotomy without any attempt of intestinal resection was performed upon two patients. Eleven patients underwent resection and primary anastomosis. Second-look procedures were done upon ten patients, and in six, intestinal resection was followed by creation of a double ostomy. The over-all survival rate was reported to be 60 per cent; it was 71 per cent among the patients who were operated upon. The role of second-look procedures in improving survival time is outlined.
自1978年以来，21例（12例男性和9例女性）肠系膜静脉血栓形成（MVT）患者在哈达萨大学医学中心接受了治疗。MVT的病因是多因素的，只有6例患者的病情被定义为原发性或特发性。8例患者术前诊断为MVT。对个体患者的手术处理基于缺血过程的程度、梗死肠段的活力以及患者的一般状况。19例患者接受了手术。2例患者进行了探查性剖腹手术，未尝试进行肠切除。11例患者接受了切除和一期吻合术。10例患者进行了二次探查手术，其中6例患者在肠切除后进行了双造口术。据报道，总体生存率为60%；接受手术的患者中生存率为71%。文中概述了二次探查手术在延长生存时间方面的作用。
