[Prevention and treatment of complications after portoazygous disconnection for portal hypertension].
From 1978 to 1990, 35 complications were encountered in 203 cases of portoazygous disconnection in our hospital including intra-abdominal hemorrhage, AHF, ARF, ARDS, and gastric or pancreatic fistulae. The mortality rate was 8% with Hassab's operation, and 38% with Sugiura's, respectively. Emergency operation carried with a mortality of 31.1%, Whereas selective operation only 2.5%. 3.2% of all cases in Child's A group succumbed Postoperatively and 62% in Child's C group. The authors discussed the causes of the complications and ways to prevent them.
Duan
Z Q
ZQ
First Teaching Hospital, China Medical University, Shenyang.
D000328:Adult; D000368:Aged; D001401:Azygos Vein / Q000601:surgery*; D005260:Female; D006501:Hepatic Encephalopathy / Q000209:etiology; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery*; D008099:Liver / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology; D011169:Portal Vein / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology*; D013369:Subphrenic Abscess / Q000209:etiology; D013514:Surgical Procedures, Operative / Q000379:methods / Q000401:mortality