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Updated: Oct 2, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
04:00

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

[Distal spleno-caval shunt in 66 patients with portal hypertension]

J Cai1, J Dong, H Gu

  • 1Hepatobiliary Surgery Center, Southwestern Hospital, Third Military Medical University, Chongqing 400038.

Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|February 5, 2002
PubMed

Insights

Distal splenocaval shunt surgery effectively manages portal hypertension with a low rebleeding rate and good long-term survival. This procedure is a viable option for patients exhibiting hepatopetal portal flow.

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Hepatology

Context:

  • Portal hypertension is a serious complication of liver disease.
  • Distal splenocaval shunt is a surgical option to manage portal hypertension.
  • Evaluating long-term outcomes is crucial for surgical interventions.

Purpose:

  • To assess the long-term efficacy and safety of distal splenocaval shunt.
  • To report the operative experience and outcomes in a cohort of patients.
  • To determine the suitability of this shunt for specific patient profiles.

Summary:

  • A cohort of 66 portal hypertension patients underwent distal splenocaval shunt.
  • The study reports a 7.58% operative mortality and a similar rate of recurrent bleeding.
  • Five-year survival reached 70.45% with no cases of hepatic encephalopathy.

Impact:

  • Distal splenocaval shunt demonstrates favorable long-term results for portal hypertension.
  • The procedure is particularly suitable for patients with hepatopetal portal flow.
  • This study contributes valuable data on the management of portal hypertension via shunting procedures.
Abstract

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