Related Experiment Video
Updated: May 29, 2026
12:27
Technique of Porcine Liver Procurement and Orthotopic Transplantation using an Active Porto-Caval Shunt
Published on: May 7, 2015
[Portosystemic shunt surgery between TIPS and liver transplantation]
1Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Charité-Universitätsmedizin Berlin, Campus Virchow-Klinikum Berlin, Deutschland. gero.puhl@charite.de
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|September 21, 2011
Summary
Portosystemic shunt surgery remains a viable option for portomesenteric decompression when other treatments fail and liver transplantation is not immediate. It is effective for preventing rebleeding from varices in patients with well-preserved liver function.
Area of Science:
- Hepatology
- Vascular Surgery
- Interventional Radiology
Context:
- Management of portal hypertension and its complications.
- Limited treatment options for patients with pharmacological and endoscopic treatment failure.
- Liver transplantation is not always an immediate option.
Purpose:
- To provide an update on the systematics and methodology of portacolic shunt surgery.
- To emphasize the significance of portosystemic shunt surgery as a current treatment option.
- To review recent studies on portosystemic shunt surgery.
Summary:
- Portosystemic shunt surgery, including transjugular intrahepatic portosystemic shunt (TIPS) insertion, is a valid treatment for portomesenteric decompression in specific patient groups.
- It is indicated for secondary prophylaxis of variceal rebleeding in patients with Child A cirrhosis or extrahepatic portal vein thrombosis.
- Portosystemic shunt procedures are also alternatives to TIPS or liver transplantation for acute Budd-Chiari syndrome and veno-occlusive disease.
Impact:
- Highlights the continued relevance of surgical shunting in managing complex portal hypertension cases.
- Offers an alternative for patients unsuitable for or awaiting liver transplantation.
- Provides evidence supporting emergency portacaval shunt surgery.
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