[Side-to-side porto caval shunt with a restricting ring].
Limited side-to-side portalcaval shunt with a limitary ring attached (LPCS-LRA) was used to improve portal perfusion while decompressing the portal system. From December 1988 to December 1994, 154 patients had LPCS-LRA among them ninety-one patients were in 91 Child A, 41 Child B, and 18 Child C. At average 3.2-year follow-up, the hospital mortality was 1.3%, the total mortality was 2.6%, recurrent variceal hemorrhage rate was 1.9%, postoperative encephalomyelopathy rate was 4.1%, and the survival rate at 2, 3, 4, 5, 6 year were 98.3%, 96.6%, 93.7%, 89.2%, 83.3% respectively. The clinical efficacy of LPCS-LRA was satisfactory and the incidence of postoperative encephalomyelopathy was low.
Wang
Y
Y
Department of General Surgery, Beijing Friendship Hospital.
Xu
Y
Y
Li
J
J
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006975:Hypertension, Portal / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011167:Portacaval Shunt, Surgical / Q000379:methods* / Q000401:mortality; D015996:Survival Rate