Nordestgaard A G, Baumgartner F, Butler J A, Klein S R
Department of Surgery, Harbor-UCLA Medical Center, Torrance 90509.
Ann Vasc Surg. 1993 Mar;7(2):187-9. doi: 10.1007/BF02001014.
We report a case in which umbilical vein was used to construct an omphalocaval shunt in a patient with a long history of alcoholic liver disease and recurrent esophageal and gastric variceal bleeding episodes. The indication for the choice of this procedure included the presence of dense adhesions in the porta hepatis, arteriographic documentation of continuity with the portal venous system, and an umbilical vein 12 mm in internal diameter. The hypertensive portal system was successfully decompressed and proved patent 6 months postoperatively.
我们报告了一例病例，该病例为一名有长期酒精性肝病病史且反复出现食管和胃静脉曲张出血发作的患者，使用脐静脉构建了脐腔分流术。选择该手术的指征包括肝门处存在致密粘连、动脉造影证实与门静脉系统相连以及内径为12毫米的脐静脉。术后6个月，高血压门静脉系统成功减压且证实通畅。
