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食管静脉曲张患者行左胃腔静脉分流术的临床经验。

Clinical experiences with left gastric vena caval shunt in patients with esophageal varices.

作者信息

Ogawa Y, Hirose S, Yukaya H, Nagasue N, Sasaki Y, Morinaga K, Miyoshi Y, Seto Y

出版信息

Jpn J Surg. 1980 Dec;10(4):310-4. doi: 10.1007/BF02468793.

DOI:10.1007/BF02468793
PMID:7218612
Abstract

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.

摘要

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。

相似文献

1
Clinical experiences with left gastric vena caval shunt in patients with esophageal varices.食管静脉曲张患者行左胃腔静脉分流术的临床经验。
Jpn J Surg. 1980 Dec;10(4):310-4. doi: 10.1007/BF02468793.
2
Results of left gastric vena caval shunt for esophageal varices: Analysis of one hundred clinical cases.
Surgery. 1975 Nov;78(5):628-36.
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World J Surg. 1984 Oct;8(5):716-21. doi: 10.1007/BF01655768.
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本文引用的文献

1
Selective trans-splenic decompression of gastroesophageal varices by distal splenorenal shunt.经远端脾肾分流术对胃食管静脉曲张进行选择性经脾减压
Ann Surg. 1967 Sep;166(3):437-55. doi: 10.1097/00000658-196709000-00011.
2
New selective decompression of esophageal varices. By a left gastric venous-caval shunt.
Arch Surg. 1970 Feb;100(2):157-62. doi: 10.1001/archsurg.1970.01340200045011.
3
A selective portacaval shunt.
Lancet. 1968 Jul 6;2(7558):51-2. doi: 10.1016/s0140-6736(68)92930-9.
4
Results of left gastric vena caval shunt for esophageal varices: Analysis of one hundred clinical cases.
Surgery. 1975 Nov;78(5):628-36.