Comparison of pericardial devascularization with modified Sugiura procedure in management of portal hypertension
10.3760/cma.j.issn.1007-8118.2010.08.009
- VernacularTitle:贲门周围血管离断术与改良Sugiura手术治疗门静脉高压症的疗效比较
- Author:
Heyun ZHANG
;
Junyao XU
;
Yajin CHEN
;
Zhiyu XIAO
;
Liping CENG
;
Jisheng CHEN
;
Qingjia OU
;
Rufu CHEN
;
Jie WANG
- Publication Type:Journal Article
- Keywords:
Hypertension,portal;
Pericardial devascularization;
Modified Sugiura procedure
- From:
Chinese Journal of Hepatobiliary Surgery
2010;16(8):586-589
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of pericardial devascularization with that of the modified Sugiura procedure in management of portal hypertension. Methods From 1990 to 2008, 236patients with portal hypertension underwent operations including pericardial devascularization in 147and modified Sugiura in 89 in our hospital. Results There were 12 perioperative deaths (8.2 % ), and 2 rebleedings (2 % ) in the pericardial devascularization group, and 7 perioperative deaths (7.9 % ) and 2 rebleedings(3.4 % ) in the modified Sugiura group. The follow-up rate was 91.9 % in the pericardial devascularization group and 87.8% in the modified Sugiura group respectively, in a period from 6 months to 19 years. The 1-, 3-and 5-year rebleeding rates were 5.7%,15.2% and 25.5% in the pericardial devascularization group and 6.9%, 16.3%, 29.5 % in the modified Sugiura group, respectively. The 1-, 3- and 5-year survival rates were 87.8% ,79.1% and 69.7% in the pericardial devascularization group and 95.8 %,85.0%, 76.9 % in the modified Sugiura group, respectively. Conclusion Modified Sugiura procedure and pericardial devascularization have differences in perioperative mortality as well as rebleeding and survival rates.
