[The world's first: laparoscopic portacaval H-graft shunt]

Partial portal diversion prevents recurrent variceal hemorrhage in cirrhotic patients. Surgical portacaval shunt and trans-jugular intra-hepatic portasystemic shunt have both been realized. Endoscopic instrument's advances and surgeon's skill level in laparoscopic surgery had overcome technical impediments. Laparoscopy could be used in safety condition in shunt procedures. We present the case report of surgical laparoscopic procedure for portacaval H graft shunt.