Parr D C, Hopkinson B R
Br J Surg. 1978 Aug;65(8):585-7. doi: 10.1002/bjs.1800650818.
We report the use of a woven silicone rubber graft as an alternative prosthesis for a shunt in 8 patients with portal hypertension. Four patients were operated on as emergencies and 4 electively. In 4 cases the graft was used as a standard mesocaval H graft, in 2 as a portocaval H graft and in 2 cases it was used to simplify the Warren selective distal splenorenal shunt. The material has properties which make it a superior graft to existing prostheses and autogenous vein. Our results confirm the experience of others, that the poor risk patients do badly whatever form of shunt is performed, and of those who survive, the total portal shunt carries the risk of postoperative encephalopathy.
我们报告了使用编织硅橡胶移植物作为8例门静脉高压患者分流术替代假体的情况。4例患者为急诊手术，4例为择期手术。4例中移植物用作标准的肠系膜上静脉-下腔静脉H型分流，2例用作门静脉-下腔静脉H型分流，2例用于简化沃伦选择性远端脾肾分流。该材料的特性使其成为优于现有假体和自体静脉的移植物。我们的结果证实了其他人的经验，即无论进行何种形式的分流术，高危患者预后都很差，而在存活的患者中，全门静脉分流有术后肝性脑病的风险。
