title: Radical correction of Budd-Chiari syndrome.
abstract: BACKGROUND
  Interventional therapy is widely accepted as the first choice for the treatment of the Budd-Chiari syndrome, but the use of radical correctional therapy should not be discarded. This study describes radical correction by controlling bleeding from distal end of pathological segment of the inferior vena cava (IVC) and discusses potential surgical errors and postoperative complications.
  
  
  METHODS
  Of the 216 patients in the study, 78 were treated with simple membranectomy, 64 with dissection of the pathological segment of the IVC and vascular prosthesis or pericardial patch plasty, 60 with resection of the pathological segment of the IVC and orthotopic graft transplantation with vascular prosthesis, and 14 with resection of the occlusive main hepatic vein and its upper IVC, hepatic venous outflow plasty and vascular prosthesis orthotopic graft transplantation from the hepatic venous entrance to the IVC of right atrial ostium.
  
  
  RESULTS
  Except 14 cases who were discharged after hepatic vein outflow plasty, four cases died postoperatively, and 198 patients were discharged without complications. The symptoms of 15 patients were relieved partially and 2 without any change. There were no deaths intraoperatively. Of the 112 cases who were followed up for 72 months, 13 suffered from a relapse.
  
  
  CONCLUSIONS
  Radical correction is a beneficial therapy in the treatment of Budd-Chiari syndrome.
authors.affiliation: Department of Vascular Surgery, Second Hospital Affiliated to Soochow University, Suzhou, China. flytsg@126.com
authors.forename: Xiao-Qiang
authors.initials: XQ
authors.lastname: Li
authors.forename: Zhong-Gao
authors.initials: ZG
authors.lastname: Wang
authors.forename: Qing-You
authors.initials: QY
authors.lastname: Meng
authors.forename: Hong-Fei
authors.initials: HF
authors.lastname: Sang
authors.forename: Ai-Min
authors.initials: AM
authors.lastname: Qian
authors.forename: Peng-Fei
authors.initials: PF
authors.lastname: Duan
authors.forename: Jian-Jie
authors.initials: JJ
authors.lastname: Rong
mesh_terms: D000293:Adolescent; D000328:Adult; D006502:Budd-Chiari Syndrome / Q000473:pathology / Q000601:surgery*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*; D014682:Vena Cava, Inferior / Q000601:surgery