Surgical treatment of portal vein cavernous transformation.
The aim of this study was to explore the treatment of portal cavernous transformation (PVCT). The surgical treatment of 18 patients with PVCT was studied retrospectively. Eight patients underwent mesocaval shunt with artificial grafts, two patients had splenectomy and disconnection, three patients had a central splenorenal shunt, and six patients had a distal splenorenal shunt. There were no deaths or hepatic encephalopathy after operation. Bleeding recurred in two patients (disconnection in one, mesocaval shunt in one). The individualized choice of shunt is ideal for treating PVCT, and the combined procedures of shunt and disconnection are useful. The Rex shunt will be the focus of PVCT surgery in the future.
Zhang
Hongkun
H
Department of Vascular Surgery, The First Affiliated Hospital of Medical Science, Zhejiang University, No. 79 Qing Chun Road, 310003 HangZhou, China. doczhk@yahoo.com.cn
Zhang
Nan
N
Li
Ming
M
Jin
Wei
W
Pan
Songlin
S
D000293:Adolescent; D000328:Adult; D002648:Child; D003097:Collateral Circulation; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000601:surgery; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D011170:Portasystemic Shunt, Surgical; D011859:Radiography