PARTIAL PORTAL ARTERIALIZATION FOR THE PREVENTION OF MASSIVE LIVER NECROSIS FOLLOWING EXTENDED PANCREATICOBILIARY SURGERY - EXPERIENCE OF 2 CASES

被引：38

作者：

ISEKI, J

TOUYAMA, K

NOIE, T

NAKAGAMI, K

TAKAGI, M

HAKAMADA, K

TANAKA, A

YAMADA, A

HANAKITA, J

SUWA, H

机构：

[1] Department of Surgery, Shizuoka General Hospital, Shizuoka, 420

[2] Department of Plastic Surgery, Shizuoka General Hospital, Shizuoka, 420

[3] Department of Neurological Surgery, Shizuoka General Hospital, Shizuoka, 420

来源：

SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1992年 / 22卷 / 06期

关键词：

PARTIAL PORTAL ARTERIALIZATION; MESENTERIC ARTERIOPORTAL SHUNT; HEPATIC ARTERIAL INTERRUPTION;

D O I：

10.1007/BF00308907

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Massive liver necrosis, which is a severe and highly fatal complication after extended pancreatobiliary surgery, may occur due to an interruption of the hepatic arterial flow caused by such events as an excision of the hepatic artery invaded by cancer, a ligation of the postoperatively ruptured hepatic artery, or a thrombotic obstruction of the reconstructed hepatic artery. In order to improve this ischemic state of the liver, we have performed a partial arterialization of the portal vein by making an arteriovenous shunt at the mesenteric vascular branches in two cases. Although a sufficient pathophysiological investigation could not be fully conducted, partial portal arterialization was considered to be effective in one patient, while no clinically noticeable adverse effects were revealed in the other patient.

引用

页码：568 / 571

页数：4

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