Quesada C, Guidicelli H, Dupré A, Lecoeur J, Méaulle P Y, Peralta J L, Gautier R
J Chir (Paris). 1979 Aug-Sep;116(8-9):493-6.
The authors report their experience of 30 mesenterico-caval anastomoses with prosthetic interposition according to Drapanas's technic. From the point of view of the operative indications, they have never carried out a prophylactic operation. In 19 cases, the operation was carried out as an emergency for inefficacy of the medical treatment. In 11 cases, a cold operation was performed, either to prevent eventual hemorrhagic recurrence (8 cases) or for chronic ascites (3 cases). Half the patients belonged to group C with a poor surgical risk. There was only one case of post-operative thrombosis due to a technical error, and two cases of secondary thrombosis. The overall mortality was 60%. But when the patient was of group A or B the mortality was only 20%. The survivors are those in whom the operation was rapid and the blood loss minimal. To conclude, the authors the necessity of better selection of patients, and rapid operation without bleeding.
作者报告了他们根据德拉帕纳斯技术进行的30例带人工血管植入的肠系膜-腔静脉吻合术的经验。从手术指征的角度来看，他们从未进行过预防性手术。19例中，手术是作为药物治疗无效后的急诊进行的。11例进行了择期手术，要么是为了预防可能的出血复发（8例），要么是为了治疗慢性腹水（3例）。一半的患者属于手术风险较差的C组。仅1例因技术失误发生术后血栓形成，2例发生继发性血栓形成。总死亡率为60%。但当患者属于A组或B组时，死亡率仅为20%。存活者是那些手术迅速且失血最少的患者。总之，作者认为有必要更好地选择患者，并进行无出血的快速手术。
