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[Side-to-side porto caval shunt with a restricting ring]
Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|March 1, 1996
Summary
Limited side-to-side portalcaval shunt with a limitary ring attached (LPCS-LRA) effectively decompresses the portal system. This procedure demonstrated satisfactory clinical efficacy with low mortality and recurrent variceal hemorrhage rates.
Area of Science:
- Hepatobiliary Surgery
- Vascular Surgery
- Gastroenterology
Context:
- Portal hypertension management
- Esophageal varices treatment
- Liver disease complications
Purpose:
- Evaluate the clinical efficacy and safety of limited side-to-side portalcaval shunt with a limitary ring attached (LPCS-LRA).
- Assess outcomes including mortality, variceal rebleeding, and encephalomyelopathy in patients undergoing LPCS-LRA.
Summary:
- A total of 154 patients underwent LPCS-LRA between 1988 and 1994, categorized by Child class (91 A, 41 B, 18 C).
- At an average follow-up of 3.2 years, the procedure showed a 1.3% hospital mortality and 2.6% overall mortality.
- Recurrent variceal hemorrhage occurred in 1.9% of patients, and postoperative encephalomyelopathy was observed in 4.1%.
Impact:
- LPCS-LRA is a satisfactory surgical option for portal decompression.
- The procedure is associated with favorable long-term survival rates (e.g., 83.3% at 6 years).
- Low incidence of postoperative encephalomyelopathy suggests a favorable safety profile.