title: Radical correction for Budd-Chiari syndrome through a transabdominal approach.
abstract: BACKGROUND
  To describe radical correction for Budd-Chiari syndrome through a unique transabdominal approach.
  
  
  METHODS
  After the liver was turned leftward through a transabdominal approach, segments II and III of the inferior vena cava (IVC), the second porta hepatis, and third porta hepatis were visualized. Then, radical correction and angioplasty of the IVC were performed. Three patients operated through this approach recovered well.
  
  
  RESULTS
  All procedures were performed successfully, without any perioperative mortality. There were two cases of postoperative ascites. The elevated venous pressure and the liver function returned to normal at follow-up.
  
  
  CONCLUSIONS
  Radical correction for Budd-Chiari syndrome through a transabdominal approach without extracorporeal circulation minimizes the surgical injury and has a good curative effect.
authors: Department of Vascular Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, People's Republic of China.
authors: Changwei
authors: C
authors: Liu
authors: Yuehong
authors: Y
authors: Zheng
authors: Xue
authors: X
authors: Yang
authors: Jiang
authors: J
authors: Shao
authors: Xiaojun
authors: X
authors: Song
authors: Xin
authors: X
authors: Lu
authors: Xinting
authors: X
authors: Sang
mesh_terms: D000328:Adult; D017130:Angioplasty; D006502:Budd-Chiari Syndrome / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010690:Phlebography / Q000379:methods; D017131:Thrombectomy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D014690:Venous Pressure