采用间置式肠系膜上腔静脉分流术对婴幼儿进行门脉减压。

Portal decompression in infants and children with the interposition mesocaval shunt.

作者信息

Altman R P, Potter B M

出版信息

Am J Surg. 1978 Jan;135(1):65-9. doi: 10.1016/0002-9610(78)90011-9.

Abstract

The mesocaval graft for portal decompression is applicable in infants and children with portal hypertension secondary to extrahepatic or intrahepatic causes. It is recommended in patients in whom extensive previous surgery in the portahepatis (Kasai procedure) would make dissection of the portal vein difficult and endanger the integrity of the functioning biliary conduit. It can be performed in patients who have had previous splenectomy or in whom portacaval or splenorenal shunts have failed. Autogenous jugular vein is favored for creation of the shunt.

摘要

用于门脉减压的腔静脉分流术适用于继发于肝外或肝内病因的门静脉高压症婴幼儿及儿童。对于那些既往在肝门区进行过广泛手术（如Kasai手术），致使门静脉解剖困难且可能危及功能性胆管完整性的患者，推荐采用该手术。该手术也可用于既往行脾切除术的患者或门腔分流术或脾肾分流术失败的患者。自体颈静脉是构建分流的首选。