Johnson W C
Arch Surg. 1976 Sep;111(9):1032. doi: 10.1001/archsurg.1976.01360270104021.
The selective splenorenal shunt is currently recommended as an alternative procedure to portocaval shunting. However, this operation is technically more difficult, particularly the localization of the renal vein in patients with thickened retroperitoneal tissues. The Doppler flow detector has helped us identify the splenic and renal veins, and we suggest the intraoperative use of this instrument in situations where difficulty is encountered.
目前推荐选择性脾肾分流术作为门腔分流术的替代手术。然而,该手术在技术上更具难度,尤其是对于腹膜后组织增厚的患者,肾静脉的定位更为困难。多普勒血流探测器有助于我们识别脾静脉和肾静脉,我们建议在遇到困难的情况下术中使用该仪器。