[Treatment of portal hypertension by using pericardial vascular disconnection and mesocaval side-to-side shunting].
OBJECTIVE
To prevent post-operative bleeding, to maintain the blood supply to the liver from the portal vein and to reduce the incidence of hepatic encephalopathy.


METHODS
The blood vessel was cut around the cardial opening and the venae cavae was anastomosed in 37 patients with portal hypertension.


RESULTS
The success rate of surgery was 100%. The free portal pressure (FPP) was 3.16 +/- 0.581 kPa, which was lower than the FPP (3.91 +/- 0.642 kPa) before operation (P < 0.01). Follow-up for 5 to 22 months showed that liver function recovered from III to I in 5 patients, and from III to II in 7. Ascites disappeared in all and varix improved in 82.9% patients.


CONCLUSIONS
Cutting flow combined with fraction flow can effectively maintain the blood supply to the liver in treating portal hypertension.
Cao
Y
Y
Department of General Surgery, Linyi People's Hospital, Linyi 276003.
Cui
L
L
Meng
F
F
Wang
M
M
Wang
R
R
Han
W
W
D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000601:surgery*; D008103:Liver Cirrhosis / Q000150:complications; D008297:Male; D008875:Middle Aged; D010536:Peritoneovenous Shunt / Q000379:methods*