Ogawa Y, Hirose S, Yukaya H, Nagasue N, Sasaki Y, Morinaga K, Miyoshi Y, Seto Y
Jpn J Surg. 1980 Dec;10(4):310-4. doi: 10.1007/BF02468793.
Left gastric vena caval shunt (Inokuchi) was performed in four patients with liver cirrhosis; electively in two and prophylactically in two cases. The overall results have been satisfactory in terms of the effect on esophageal varices and postoperative complications. This procedure appeared to be superior to distal splenorenal shunt or other direct surgical procedures in several aspects. Since left gastric vena caval shunt does not require particularly elaborate surgical techniques and can be performed safely even in patients with considerably impaired hepatic function, it can be recommended as an ideal surgical procedure to be performed in elective and prophylactic surgical candidates.
对4例肝硬化患者施行了左胃静脉腔静脉分流术(井口术式);其中2例为择期手术,2例为预防性手术。就对食管静脉曲张的疗效和术后并发症而言,总体结果令人满意。该手术在几个方面似乎优于远端脾肾分流术或其他直接手术方法。由于左胃静脉腔静脉分流术不需要特别复杂的手术技术,即使在肝功能严重受损的患者中也能安全施行,因此可推荐作为择期和预防性手术候选者的理想手术方法。