Idezuki Y, Kokudo N, Sanjo K, Bandai Y
Second Department of Surgery, University of Tokyo, Faculty of Medicine, Japan.
World J Surg. 1994 Mar-Apr;18(2):216-21. doi: 10.1007/BF00294404.
During the last three decades the Sugiura procedure and other nonshunting operations have been widely performed as the operations of choice for bleeding esophageal varices in Japan. The Sugiura procedure (University of Tokyo method), a transthoracoabdominal esophageal transection, consists in paraesophageal devascularization, esophageal transection and reanastomosis, splenectomy, and pyloroplasty. The results have been satisfactory with low operative mortality and low rebleeding rate. The prognosis of the patients after this operation depended on the liver function at the time of operation but not on whether operation was done as an emergency, elective, or prophylactic measure. Although the Sugiura procedure has recently been performed in more selected cases with an advance in endoscopic injection sclerotherapy, this procedure remains the ultimate direct operation for portal hypertension in Japan.
在过去三十年里，在日本，杉浦手术及其他非分流手术已被广泛作为治疗食管静脉曲张出血的首选手术。杉浦手术（东京大学术式）是经胸腹部食管横断术，包括食管旁去血管化、食管横断及再吻合、脾切除术和幽门成形术。其结果令人满意，手术死亡率低，再出血率也低。该手术后患者的预后取决于手术时的肝功能，而非手术是作为急诊、择期还是预防性措施进行的。尽管随着内镜注射硬化疗法的进展，近来杉浦手术在更多经过挑选的病例中得以实施，但在日本，该手术仍是门静脉高压症最终的直接手术方式。
