Evaluation of transabdominal modified Sugiura procedure
- VernacularTitle:改良经腹杉浦断流术的疗效评价
- Author:
Dun SHI
;
Yuanshui SUN
;
Hongjun YUAN
;
Yongxiang WANG
;
Shouchun ZOU
;
Zaiyuan YE
- Publication Type:Journal Article
- Keywords:
Hypertention, portal;
Anastomosis, surgical;
Esophageal and gastric varices
- From:
Chinese Journal of General Surgery
2000;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the advantage of transabdominal modified Sugiura procedure Methods We retrospectively analyzed 45 cases undergoing transabdominal modified Sugiura procedure from May 1997 to May 2003 The procedure included devascularization of near half gastric and inferior part of esophagus after splenotomy The left and right vagus nerves, the anterior and posterior Latarjet nerves and paraesophageal collateral veins were left intact The gastric submucous vasculature was sutured on the plane 3～5 cm distal to cardia (suture group); or the esophagus 3 cm above cardia was cut and reanastomosed with pipe anastomat Results There was no inhospital mortality Free portal veinous pressure and portal vein flow speed did not change significantly The flow volume of portal vein decreased ( P
