Dagradi A, Marzoli G P, Vesentini S, Frasson F, Fugazzola C, Mangiante G
Chir Ital. 1978 Aug;30(4):307-29.
The authors describe 23 cases of distal splenorenal derivation after Warren. Of these patients, 17 received a complete followup clinical hematological and angiographic examination at an average remove of 10 months after surgery. The authors discuss their results and submit that the Warren operation, while really selcetive in most cases when performed, in the long run tends to shung rather too much blood away from the liver; in other words, the effectiveness of the shunt tends to exceed the intended drainage,which should be restricted to the gastro-esophageal vascular bed.
作者描述了23例采用沃伦术式的远端脾肾分流病例。在这些患者中，17例在术后平均10个月时接受了全面的随访临床血液学和血管造影检查。作者讨论了他们的结果，并认为沃伦手术虽然在大多数情况下实施时确实具有选择性，但从长远来看，往往会使过多的血液从肝脏分流出去；换句话说，分流的有效性往往超过了预期的引流范围，而预期引流应仅限于胃食管血管床。
