Surgical treatment of Budd-Chiari syndrome caused by short segmental lesion of inferior vena cava and major hepatic veins
- VernacularTitle:下腔静脉及肝静脉短段病变型布-加氏综合征的外科治疗
- Author:
Xiaoqiang LI
;
Chaowen YU
;
Yunming WU
- Publication Type:Journal Article
- From:
Chinese Journal of General Surgery
2001;16(5):280-282
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the results of radical resection for the treatment of Budd-Chiari syndrome (BCS) caused by short segmental lesions in inferior vena cava (IVC), and major hepatic veins (MHV). Methods In this series, resection of IVC occlusive segment and orthotopic artificial vascular graft transplantation were performed in 42 patients. Resection of major hepatic vein, hepatic venous plasty and orthotopic transplantation with artificial vascular graft were performed in 10 patients. Resection of major hepatic vein, anastomosis between hepatic vein and right artrium in 3 cases. Percutaneous transhepatic angioplasty in 10 cases. Results One patient died of complication. 58 cases were followed up for an average of 30 months. 3 cases in interventional group suffered recurrence and one in surgical group had recurrence. Conclusions The treatment of BCS by resecting inflicted segment of IVC or hepatic veins and orthotopic artificial vascular graft transplantation effect a radical cure in most cases.
