Madiba T E, Thomson S R, Neijenhuis P A
Department of Surgery, University of Natal, Durban, South Africa.
J R Coll Surg Edinb. 1997 Oct;42(5):359-60.
A 19-year-old patient with schistosomiasis and portal hypertension presented with bleeding oesophageal varices. A selective distal splenorenal shunt was planned. At surgery a retro-aortic left renal vein prevented a classical splenorenal anastomosis, and a distal splenocaval anastomosis was performed which is clinically patent at 18 months.
一名19岁的血吸虫病和门静脉高压患者出现食管静脉曲张出血。计划进行选择性远端脾肾分流术。手术时,主动脉后左肾静脉妨碍了经典的脾肾吻合,于是进行了远端脾腔静脉吻合术,术后18个月临床检查显示吻合口通畅。