Fegiz G, Bracci F, Trenti A, Grassini G, Colizza S, De Fazio S
Int Surg. 1985 Oct-Dec;70(4):301-3.
The operative morbidity observed in a consecutive series of 286 patients who underwent shunt surgery for portal hypertension is reported. 149 patients out of 286 (52.1%) had a postoperative complication, which required reoperation in 11 cases (5 intestinal perforations, 2 bleeding peptic ulcers, 1 eventratio, 1 cholestasis, 1 acute pancreatitis, 1 strangulated hernia). 42 patients out of the 149 with complications died of the complication (operative mortality 14.6%). Operative morbidity and mortality appeared higher in patients operated as emergencies. Whereas elective shunts gave better results. The problem involved in preventing and treating the serious complications following shunt surgery for portal hypertension are discussed.
报道了连续286例因门静脉高压接受分流手术患者的手术发病率。286例患者中有149例(52.1%)出现术后并发症,其中11例(5例肠穿孔、2例消化性溃疡出血、1例比值比、1例胆汁淤积、1例急性胰腺炎、1例绞窄性疝)需要再次手术。149例有并发症的患者中有42例死于并发症(手术死亡率14.6%)。急诊手术患者的手术发病率和死亡率似乎更高。而择期分流术效果更好。讨论了门静脉高压分流手术后预防和治疗严重并发症所涉及的问题。