[The present status of portal vein surgery in liver cirrhosis (author's transl)].
Surgical procedures concerning the portal vein in liver cirrhosis must be carefully planned preoperatively. If there is still a residual blood supply of the liver through the portal vein it should be preserved. This can be done best by establishing a pressure-adapted arterialisation of the liver plus portacaval end-to-side anastomosis. The portacaval shunt is the method of choice if there is no residual blood flow through the portal vein. A spleno-renal venous anastomosis is to be performed, if there is a total or partial thrombosis of the stem of the portal vein. Treatment of acute bleeding from esophageal varices is still a problem unresolved. The pathophysiology of this situation is considered; a method is proposed which combines a quick stop of bleeding and relief of the detoxfying function of the liver.
D004932:Esophageal and Gastric Varices / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery; D011167:Portacaval Shunt, Surgical; D011169:Portal Vein / Q000601:surgery*; D012082:Renal Veins / Q000601:surgery; D013162:Splenic Vein / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000592:standards
Zum heutigen Stand der Pfortaderchirurgie bei Leberzirrhose