Modified splenorenal shunt with splenopancreatic disconnection.
Distal splenorenal shunt with splenopancreatic disconnection is a difficult surgical procedure; therefore its use is not widespread. We present a modified technique that facilitates the procedure and also ensures maintenance of portal flow by adding gastric devascularization and gastric disconnection. Our results compare favorably with the standard distal splenorenal shunt.
Katoh
H
H
Second Department of Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Shimozawa
E
E
Kojima
T
T
Tanabe
T
T
D000714:Anastomosis, Surgical; D005069:Evaluation Studies as Topic; D005500:Follow-Up Studies; D006801:Humans; D010179:Pancreas / Q000601:surgery*; D013162:Splenic Vein / Q000601:surgery*; D013164:Splenorenal Shunt, Surgical / Q000379:methods* / Q000401:mortality