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Navigating abdominal surgery in extrahepatic portal vein obstruction: new insights and remaining issues.

作者信息

Shimizu Tetsuya, Yoshida Hiroshi, Kawano Yoichi, Matsushita Akira, Yoshioka Masato, Ueda Junji

机构信息

Department of Gastroenterological Surgery, Nippon Medical School, Tokyo, Japan.

出版信息

Hepatobiliary Surg Nutr. 2025 Aug 1;14(4):665-668. doi: 10.21037/hbsn-2025-290. Epub 2025 Jul 23.

DOI:10.21037/hbsn-2025-290
PMID:40893746
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12393114/
Abstract
摘要

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Navigating abdominal surgery in extrahepatic portal vein obstruction: new insights and remaining issues.肝外门静脉阻塞的腹部手术导航：新见解与遗留问题
Hepatobiliary Surg Nutr. 2025 Aug 1;14(4):665-668. doi: 10.21037/hbsn-2025-290. Epub 2025 Jul 23.
2
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Portal vein recanalisation alone to treat severe portal hypertension in non-cirrhotic patients with chronic extrahepatic portal vein obstruction.单纯门静脉再通术治疗非肝硬化慢性肝外门静脉阻塞患者的严重门静脉高压症。
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In Vivo. 2019 Sep-Oct;33(5):1697-1702. doi: 10.21873/invivo.11658.
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Splenectomy unveils thrombocytosis in underlying myeloproliferative neoplasms with extrahepatic portal vein obstruction.脾切除术可揭示合并肝外门静脉阻塞的潜在骨髓增殖性肿瘤中的血小板增多症。
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本文引用的文献

1
Safety and Efficacy of Portal Vein Recanalization with Creation of Intrahepatic Portosystemic Shunt (PVR-TIPS) to Treat Chronic Portal Vein Thrombosis in Non-cirrhotic Patients.非肝硬化患者门静脉再通并建立肝内门体分流术（PVR-TIPS）治疗慢性门静脉血栓形成的安全性和有效性
Cardiovasc Intervent Radiol. 2025 Mar;48(3):351-361. doi: 10.1007/s00270-024-03923-6. Epub 2025 Jan 9.
2
Percutaneous recanalization of non-cirrhotic extrahepatic portal vein obstruction in children: technical considerations in a preliminary cohort.儿童非肝硬化性肝外门静脉阻塞的经皮再通：初步队列研究中的技术考量
Eur Radiol. 2025 Jun;35(6):3262-3269. doi: 10.1007/s00330-024-11040-8. Epub 2024 Sep 6.
3
Splenectomy unveils thrombocytosis in underlying myeloproliferative neoplasms with extrahepatic portal vein obstruction.
脾切除术可揭示合并肝外门静脉阻塞的潜在骨髓增殖性肿瘤中的血小板增多症。
Intractable Rare Dis Res. 2024 Aug 31;13(3):165-171. doi: 10.5582/irdr.2024.01013.
4
Abdominal surgery in patients with chronic noncirrhotic extrahepatic portal vein obstruction: A multicenter retrospective study.
Hepatology. 2025 Jan 1;81(1):152-167. doi: 10.1097/HEP.0000000000000901. Epub 2024 Apr 29.
5
Clinical features of extrahepatic portal vein obstruction: Myeloproliferative neoplasms eliminate hypersplenic hematologic changes in extrahepatic portal vein obstruction.肝外门静脉阻塞的临床特征：骨髓增殖性肿瘤消除肝外门静脉阻塞中的脾功能亢进血液学改变。
Intractable Rare Dis Res. 2024 Feb;13(1):63-68. doi: 10.5582/irdr.2023.01106.
6
Esophagogastric Varix Caused by Extrahepatic Portal Vein Obstruction with Essential Thrombocythemia: A Case Report.肝外门静脉阻塞合并原发性血小板增多症所致食管胃静脉曲张：一例报告
J Nippon Med Sch. 2024 Dec 27;91(6):541-547. doi: 10.1272/jnms.JNMS.2024_91-601. Epub 2023 Aug 8.
7
Portal vein recanalisation alone to treat severe portal hypertension in non-cirrhotic patients with chronic extrahepatic portal vein obstruction.单纯门静脉再通术治疗非肝硬化慢性肝外门静脉阻塞患者的严重门静脉高压症。
JHEP Rep. 2022 May 25;4(8):100511. doi: 10.1016/j.jhepr.2022.100511. eCollection 2022 Aug.
8
Baveno VII - Renewing consensus in portal hypertension.《巴韦诺 VII 共识：门静脉高压领域的新共识》
J Hepatol. 2022 Apr;76(4):959-974. doi: 10.1016/j.jhep.2021.12.022. Epub 2021 Dec 30.
9
Polycythemia vera and essential thrombocythemia: 2021 update on diagnosis, risk-stratification and management.真性红细胞增多症和原发性血小板增多症：2021 年诊断、风险分层和治疗更新。
Am J Hematol. 2020 Dec;95(12):1599-1613. doi: 10.1002/ajh.26008. Epub 2020 Oct 23.
10
The prognostic role of hepatic venous pressure gradient in cirrhotic patients undergoing elective extrahepatic surgery.肝静脉压力梯度在择期行肝外手术的肝硬化患者中的预后作用。
J Hepatol. 2019 Nov;71(5):942-950. doi: 10.1016/j.jhep.2019.07.007. Epub 2019 Jul 19.