Cai J, Dong J, Gu H
Center of Hepatobiliary Surgery, Southwest Hospital, Chongqing.
Zhonghua Wai Ke Za Zhi. 1996 Mar;34(3):151-3.
The results of inferior mesenteric vein-inferior vena cava shunt coupled with splenectomy and gastroesophageal devascularization in 16 patients with cirrhotic portal hypertention were reviewed. The mean diameter of the shunt stoma was 6.46 +/- 0.78 mm, and the portal pressure decreased from 4.25 +/- 0.54 kPa to 3.39 +/- 0.41 kPa. Variceal bleeding stopped in all 16 patients with no severe postoperative complications. This procedure should preserve satisfactory portal perfusion to the liver, and technically is easier than other shunt procedures.
回顾了16例肝硬化门静脉高压患者行肠系膜下静脉-下腔静脉分流术联合脾切除及胃食管去血管化术的结果。分流口平均直径为6.46±0.78mm，门静脉压力从4.25±0.54kPa降至3.39±0.41kPa。16例患者的静脉曲张出血均停止，无严重术后并发症。该手术应能保持对肝脏满意的门静脉灌注，且在技术上比其他分流手术更容易。
