[Study of 187 portacaval anastomoses. Statistical analysis of prognostic factors. II. Comparative study of the results of anastomoses with and without interruption of the portal trunk. Discussion].
The authors report a comparative retrospective study of 124 end-to-side portal anastomoses and 63 side-to-side anastomoses. The influence of a certain number of clinical and pathological factors on mortality and immediate and long-term survival, were statistically verified. The quality of the functional result result was analysed in each group of operated patients. Comparison of the results of trunkular anastomoses with or without interruption of the portal vein, showed both as regards, post-operative and late mortality, that the functional results were definitely in favor of end-to-side anastomosis. Thus side-to-side anastomoses gave 40,4 p. 100 of good results and 59,6 average or poor results, as against 60 p. 100 gave rise to portal systemic encephalopathy in 17 p. 100 of cases as against 35 p. 100 in the case of the side-to-side anastomosis. Only the sub-group of operated patients with hepatic vein thrombosis seemed to benefit from side-to-side anastomosis.
D001927:Brain Diseases / Q000209:etiology; D002561:Cerebrovascular Disorders / Q000209:etiology; D005500:Follow-Up Studies; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D008107:Liver Diseases / Q000209:etiology; D011167:Portacaval Shunt, Surgical / Q000009:adverse effects / Q000379:methods; D011169:Portal Vein; D011183:Postoperative Complications; D011379:Prognosis; D013369:Subphrenic Abscess / Q000209:etiology; D013924:Thrombophlebitis / Q000209:etiology
Bilan de 187 Dérivations porto-caves tronculaires. Analyse statistique des facteurs pronostiques. II.--Etude comparée des résultats des anastomoses avec et sans interruption du tronc porte. Discussion