Pericardial devascularization combined with preservation of Latarjet's nerves trunk in treatment of patients with portal hypertension.
OBJECTIVE
To investigate the effect of pericardial devascularization combined with preservation of Latarjet's innervation on portal hypertension.


METHODS
Sixty-two patients (57 men and 5 women) have been undergone pericardial devascularization combined with Latarjet's innervation since 1984. Clinical results and postoperative complications were evaluated.


RESULTS
The incidence of upper-digestive tract bleeding was 3.2% (2 patients) within 1 month after operation. Four patients (6.5%) died within 1 month after operation (3 patients received emergency operation and 1 selective operation). Among them, 3 patients died from hepatic failure, and one patient from sepsis due to subphrentic infection. Among these deaths, 3 were evaluated Child's C. After operation, the number of patients with abdominal distension, sudden diarrhea and gastric retension was 7 (11.3%), 3 (4.8%) and 0, respectively.


CONCLUSIONS
Pericardial devascularization combined with Latarjet's innervation can preserve the normal function of gastric emptying, prevent acute lesion of the gastric mucosa, and reduce the incidence of esophageal varices rebleeding after operation.
Li
Shi-Yong
SY
Department of General Surgery, Beijing Military Command General Hospital, Beijing 100700, China. lishiyong66@hotmail.com
Wu
En
E
Liang
Zhen-Jia
ZJ
Yuan
Shu-Jun
SJ
Yu
Bo
B
D000328:Adult; D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000601:surgery*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000033:anatomy & histology / Q000601:surgery*; D011169:Portal Vein / Q000503:physiopathology; D014630:Vagus Nerve / Q000601:surgery*