Koja K, Kusaba A, Kuniyoshi Y, Iha K, Akasaki M, Miyagi K
Second Department of Surgery, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan.
Cardiovasc Surg. 1996 Aug;4(4):500-4. doi: 10.1016/0967-2109(95)00137-9.
A surgical technique for the treatment of Budd-Chiari syndrome associated with vena caval obstruction has been devised. The occluded hepatic vena cava and hepatic veins were reconstructed by open endvenectomy, using an autologous pericardial patch graft and a femorofemoral bypass technique. The hepatic artery and portal vein were not controlled with vascular clamps during the surgery. Between 1979 and 1994, 29 patients were treated using this technique and achieved good results. All the patients did well with good function of the reconstructed vena cava and of the hepatic veins, and showed acceptable reduction of symptoms caused by portal hypertension and caval stagnation.
已设计出一种治疗与腔静脉阻塞相关的布加综合征的外科技术。通过开放式静脉内膜切除术、使用自体心包补片移植和股-股旁路技术重建闭塞的肝静脉和肝静脉。手术期间，肝动脉和门静脉未用血管夹控制。1979年至1994年间，29例患者采用该技术治疗并取得了良好效果。所有患者恢复良好，重建的腔静脉和肝静脉功能良好，由门静脉高压和腔静脉淤滞引起的症状得到了可接受的缓解。
