A New Type of Selective Shunt for the Treatment of Portal Hypertension:Distal Splenocaval Direct Anastomosis A New Type of Selective Shunt for the Treatment of PortalHypertension:Distal Splenocaval Direct Anastomosis（Original artical on page 278）Fig.1Ven

蔡景修; 杨彤翰; 邱宝安; 王敖川; 许明贵; 王崇震; 顾维岩

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A New Type of Selective Shunt for the Treatment of Portal Hypertension:Distal Splenocaval Direct Anastomosis A New Type of Selective Shunt for the Treatment of PortalHypertension:Distal Splenocaval Direct Anastomosis（Original artical on page 278）Fig.1Ven

Updated：2026-03-12

- A New Type of Selective Shunt for the Treatment of Portal Hypertension:Distal Splenocaval Direct Anastomosis A New Type of Selective Shunt for the Treatment of PortalHypertension:Distal Splenocaval Direct Anastomosis（Original artical on page 278）Fig.1Ven
- Military Medical Research Issue 3, Pages: 278-284(1986)
- Affiliations：
  
  1. Department of Genenral Surgery Second Teaching Hospital
  2. Third Military Medical College
  3. ,Chongqing
- Author bio：
- Funds：
- DOI：
  CLC：
- Published：1986
- Accepted：
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[1]蔡景修,杨彤翰,邱宝安,王敖川,许明贵,王崇震,顾维岩.A New Type of Selective Shunt for the Treatment of Portal Hypertension:Distal Splenocaval Direct Anastomosis A New Type of Selective Shunt for the Treatment of PortalHypertension:Distal Splenocaval Direct Anastomosis(Original artical on page 278)Fig.1Ven[J].Journal of Medical Colleges of PLA,1986(03):278-284+301.
DOI：

[1]蔡景修,杨彤翰,邱宝安,王敖川,许明贵,王崇震,顾维岩.A New Type of Selective Shunt for the Treatment of Portal Hypertension:Distal Splenocaval Direct Anastomosis A New Type of Selective Shunt for the Treatment of PortalHypertension:Distal Splenocaval Direct Anastomosis(Original artical on page 278)Fig.1Ven[J].Journal of Medical Colleges of PLA,1986(03):278-284+301. DOI：

摘要

Abstract

正

Ten cases of portal hypertension due to liver cir-rhosis were treated with a new procedure of selective distalsplenocaval shunt in the period from January

1984 to October

1985.The liver function was grade Ⅰ in 6 cases

grade Ⅱ in 2

and grade Ⅲ in the other 2.The operative procedure consisted ofa direct end to side anastomosis between the distal part of thesplenic vein and the infeiror vena cava.There was no operativemortality.After the completion of the anastomosis

the portalpressure was reduced by 4.4 cm H

O on average.All the patientshave been followed up for 3 to 24 months

and they are all doingvery well and have resumed fully or partially their original job.Neither rebleeding nor hepatic encephalopathy occurred postopera-tively.The patency of the anastomosis was demonstrated byultrasonography and angiography.The spleen markedly shrinkedin size and became softened in consistency.Our method is a new type of selective shunt.No report of sucha type of shunt has ever been published in the literature.It isrecommended that this operation be used in the treatment of portalhypertension since it is effective.

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